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BLD2012-00387
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 • • 7- CC N H O = O O' LL N -O Z LL � O H O 1`- H 7 O N O .. .. .- \ O cl- a) — Ct' N -3 O -0 — N O O L J I -0 X CC -0 -FP 0) Q C U O = � v W O D = -F+ "0 H O CO f9 F— •- 7 L L .0 <L J I` Q = U C.) U 07 = 2 Z O O u mi J Cl. d H X � \ Cr U I- I-- O CO O Q CO CC N CI) CO "0 = O U CC - w C = 3 3 1— m � o O CO J C.) C] -0 ¢ z CO C g O H ti -- CV 3 CO 3 >- CO CO I I- O CO O) -0 CC ,- X LLI C/7 CC C W •CI- J W W CC W CL � W CO CC Z W Q CD CO C-) ¢ CI CO Y 3 •- CC a- X I-I X � O I-I CC CO CL O r- Z Q ¢ X Q CO CO CC ¢ I- a- CO Ci J N -1 LLI E CO W X CC CO I- X Z U W "0 N - X W UJ X W CC U I- W CC I- N J U } O C.) 07 W O CL H W CO J O Z N CO X Z J H C9 CO 3 CO 7 d C= CC I-1 O = C9 07 CO H +' � U -J CC CL C3 X (O - -F-. O 1 CO O 07 O O O O NI- N •- CO Z .- CO O I-I CA CO X d- O C) O .- O .- CO O O O -0 L N 07 O U CU CO N 7) # C O Z N •. L. 3 L co Y C — N O -4-1 m I-I N N = N -- = E S CU U c0 co 'O > 10 U L L. CL — O CO CL C- C.) 00 X +, U '0 X 00 CO 0- CO -- -- CO N I— I— X c} I— co co ci— x * F— Q Ms. Janice M Misner May 7, 2014 Mr. Riley M Parker 295 Nickelbush Ln Quilcene, WA 98376 Ref: BLD12-00387 We are in the final stage of completing the requirements for final occupancy of your new Single Family Residence at 295 Nickelbush Lane, Quilcene WA. The only item left to complete this occupancy is to have Environmental Health sign off on the septic permit, which was issued with the condition that the existing cabin would become an "Art Studio"with a bathroom only. Therefore the existing cabin is not and will not be permitted by Jefferson County to be used as a residence. This condition was on the site plan when the permit was issued and has not changed. To fulfill this requirement we request you sign this letter acknowledging that Jefferson County Community Development Department has approved use of this existing cabin as an "Art Studio" not for occupancy as a residence. Please return the signed letter to DCD and we will forward a copy to Environmental Health. Thank you for your assistance in completing this issue. ```�oOttiAO4 ://'',' ,∎ Oft 14', " ONO 4104.1 ` •srte' jrMf••' AV1�` •, 4. Carl Smith, Director Dept. of Community Development I acknowledge that the existing cabin located on parcel 8013 '103, 295 Nickelbush Ln. Quilcene, WA 98376 will be used as an "Art Studio" and not as a residence, temporary or permanent. Janice Misne . \ • • Date: 5 JZ, l 4. Riley Parker: Date: kw1.s0N co JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment R 9 0÷ Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdcilco.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning( Watershed Stewardship Resource Center May 7, 2014 Ms. Janice M Misner Mr. Riley M Parker 295 Nickelbush Ln Quilcene, WA 98376 Ref: BLD12-00387 Ms Misner/Mr Parker, We are in the final stage of completing the requirements for final occupancy of your new Single Family Residence at 295 Nickelbush Lane, Quilcene WA. The only item left to complete this occupancy is to have Environmental Health sign off on the septic permit, which was issued with the condition that the existing cabin would become an "Art Studio"with a bathroom only. Therefore the existing cabin is not and will not be permitted by Jefferson County to be used as a residence. This condition was on the site plan when the permit was issued and has not changed. To fulfill this requirement we request you sign this letter acknowledging that Jefferson County Community Development Department has approved use of this existing cabin as an"Art Studio" not for occupancy as a residence. Please return the signed letter to DCD and we will forward a copy to Environmental Health. Thank you for your assistance in completing this issue. Carl Smith, Director Dept. of Community Development I acknowledge that the existing cabin located on parcel 801314003, 295 Nickelbush Ln. Quilcene, WA 98376 will be used as an "Art Studio"and not as a residence, temporary or permanent. Janice Misner: Date: Riley Parker: Date: cc: Jim Coyne, Lead Building Inspector Frank Hall, Building Inspector file 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�. B ii 4.� to 9069 , T. cb, 1, v, a + I :s I. <::1. . , I,_ , i •F •T.• ,0080 IOW .1• - iE i" c x ;;ib0 i, I m TfC,L bench r Ay -: C 6 Vv N N C _ (y, i c to eb m 6.68 r n L °Fi a» 7_ y-_ti'vo '''' ro _ _ aN n N 0 L- n ,.7.'0,2.'� 3068 ? [T1 \ ■ m x� - f - , 3 e? z r Z N 3 ■ x a m m m Bn , .»». ,J n R l y I i, Z 3 - __ 1 5 I y j A N T 1 I • .D m C=t. i1 t^ \ P c Z N , _I N J„ c m o G r a 4 I C � mi �.. _-' w 1 —lar�aw�. l. � I'�- .: te .b.. ,adctil ' 3 4�30 40.0501.5 E 3065 C 403GLS ....: ... .... \ 60'000 .A., N I ■ 5 • A W '' 2, 6: / 1113 -B,. 6' 4e 6' 3:-4,: / 3, 1'-B'. 6 / 66' / ■ J " /l WT-zzTTtn-o wv DO kH °O**DZ-aCfn .� .___./ -1 vvcn --1 ZOZmZ`2N 1O mr'4Py D m ° �11v �0 (OODDrtn �- om, ,ixmwxN„wmcnpcnx,� r0r71r(70 � Z ;�,aom m =Oa�NC jNc :;� -- _. Om' 00�_p ��P�p�r71 OO�mmmrrn �DyDmz r57 m *mpp-1 m°m,y Z i .� 1 Or ��, zm°cn �A��� �eAp°9- Wz ,..'1 zt7CZ �r xxO�Oivm _1 xi 0'1 mm0c p 1- r rm0 �A�e�pzmL? 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J V °mrni m(/� mZDZom 0r M >•mYz mi. °0 rn m o �� m N - ���.— / n00 mzrnG��n 0 ° °. cnn rn °o -IO Z N� rn 3 o�m ° O W mm� rr_-9AOm= 1 p m °< �A 00 atm p, A •• ° 0 rn <6 pcn 0 z A Z mp H om r zm * A Z 73 Z O q m z 0 N z _._ .._- 9 -I �--- PROJECT PEECRIPTlON. FDESI&N y:JAN MISNER,RILEY PARKER&Michael Halt A � 1 11,12;9'm .pp"'o ° i A NEVI ONE STORY S.F.RESIDENCE for JAN HISNER&RILEY PARKER DISCOUNT 0 3 P0A, . moa,, gx 1 riii4h,'.-. L.,,,, $ ASH o f�=< m� � HAPPY TAILS RANCH,295 NI656 OUIL LANE, .A 8831 NE,WA 9837b r , `y .w.ay l k �N. gw MAIL:P.O.BOX 63$,QUILCENE,Y�IA4 9$376 411,0116 t 3 T 1? g�a �' E L N � �'���!'� P �� w wwin�w z - a atl:ra,!I,ZtdiLMAfi tfi4.t iJL.50NS.cvaf lOW p!ax 3 11 D N rt $ Nw ° �° i TEL 425 736-33b9,small:Jan�happytailsranGhNYV.GOm NEW HOMES 4 EXTREMEtvtAKEOVERS8REM0DELNG SPEGAL75 ""V" m ^--i o w w Q MICHAEL PNLL,DES1GPER 2204 Happy VVMey Rd Sequ m WA 98382 Tel 360 904-018A 360 8087740 S I Design Criteria for Splashblocks A typical downspout splashblock is shown in Figure 3.1.7. In general, if the ground is sloped away from the foundation and there is adequate vegetation and area for effective dispersion, splashblocks will adequately disperse storm runoff. If the ground is fairly level, if the structure includes a basement, or if foundation drains are proposed, splashblocks with downspout extensions may be a better choice because the discharge point is moved away from the foundation. Downspout extensions can include piping to a splashblock/discharge point a considerable distance from the downspout, as long as the runoff can travel through a well-vegetated area as described below. The following apply to the use of splashblocks: 1. Maintain a vegetated flowpath of at least 50 feet between the discharge point and any property line, structure, slope steeper than 15%, stream, wetland, lake, or other impervious surface. Sensitive area buffers may count toward flowpath lengths. 2. A maximum of 700 square feet of roof area may drain to each splashblock. 3. For purposes of maintaining adequate separation of flows discharged from adjacent dispersion devices,the vegetated flowpath segment for the splashblock must not overlap with other flowpath segments, except those associated with sheet flow from a non-native pervious surface. 4. Place a splashblock or a pad of crushed rock(2 feet wide by 3 feet long by 6 inches deep) at each downspout discharge point. 5. No erosion or flooding of downstream properties may result. 6. Have a geotechnical engineer or a licensed geologist, hydrogeologist, or engineering geologist evaluate runoff discharged towards landslide hazard areas. Do not place Splashblocks on or above slopes greater than 15% or above erosion hazard areas without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and approval by the Local Plan Approval Authority. 7. For sites with septic systems,the discharge point must be downslope of the primary and reserve drainfield areas. This requirement may be waived if site topography clearly prohibits flows from intersecting the drainfield or where site conditions (soil permeability, distance between systems, etc) indicate that this is unnecessary. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-15 • AD . „ , house I 1 1 I. I Roof ' ::::::1 downspout I I 111111# serves up to li.111111 700 sf. Of roof Eiliiiii::1 50' min. M j l 1 Vegetated flow path I 1 i 111111 V Splash block 11 tuaui 1111 Downspout extension NTS r- Splash / block __.----- Figure 3.1.7-Typical Downspout Splashblock Dispersion Vc ;trrie III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-16 I • BMP C105: Stabilized Construction Entrance / Exit Purpose Stabilized Construction entrances are established to reduce the amount of sediment transported onto paved roads by vehicles or equipment. This is done by constructing a stabilized pad of quarry spalls at entrances and exits for construction sites. Conditions of Use Construction entrances shall be stabilized wherever traffic will be entering or leaving a construction site if paved roads or other paved areas are within 1,000 feet of the site. For residential construction provide stabilized construction entrances for each residence, rather than only at the main subdivision entrance. Stabilized surfaces shall be of sufficient length/width to provide vehicle access/parking,based on lot size/configuration. On large commercial,highway, and road projects, the designer should include enough extra materials in the contract to allow for additional stabilized entrances not shown in the initial Construction SWPPP. It is difficult to determine exactly where access to these projects will take place; additional materials will enable the contractor to install them where needed. Design and See Figure 4.1.1 for details. Note: the 100' minimum length of the Installation entrance shall be reduced to the maximum practicable size when the size Specifications or configuration of the site does not allow the full length(100'). Construct stabilized construction entrances with a 12-inch thick pad of fl- inch to 8-inch quarry spalls, a 4-inch course of asphalt treated base (ATB), or use existing pavement. Do not use crushed concrete, cement, or calcium chloride for construction entrance stabilization because these products raise pH levels in stormwater and concrete discharge to surface waters of the State is prohibited. A separation geotextile shall be placed under the spalls to prevent fine sediment from pumping up into the rock pad. The geotextile shall meet the following standards: Grab Tensile Strength(ASTM D4751) 200 psi min. Grab Tensile Elongation (ASTM 30%max. D4632) Mullen Burst Strength (ASTM 400 psi min. D3786-80a) AOS (ASTM D4751) 20-45 (U.S. standard sieve size) • Consider early installation of the first lift of asphalt in areas that will paved; this can be used as a stabilized entrance. Also consider the installation of excess concrete as a stabilized entrance. During large concrete pours, excess concrete is often available for this purpose. Volume II—Construction Stormwater Pollution Prevention -August 2012 4-7 0 • ' Driveway shall meet the requirements of the permitting agency It is recommended that the entrance be crowned so that runoff drains off the pad q 0,6 ,.e a## '1, ' r #.ter" f t E�� °v tl, s A Install driveway culvert if there i�' y �� �. is a roadside ditch present # ate 4442 4'-B"quarry spalls �i4 t. ,. Geotextile , N. L;;;:,,: '> 4. s• , 12"min.thickness A ` Provide full width of ingress/egress area Figure 4.1.1 —Stabilized Construction Entrance Approved as Ecology has approved products as able to meet the requirements of BMP Equivalent C105. The products did not pass through the Technology Assessment Protocol-Ecology(TAPE)process. Local jurisdictions may choose not to accept this product approved as equivalent, or may require additional testing prior to consideration for local use. 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Ms. Janice M Misner May 7, 2014 Mr. Riley M Parker 295 Nickelbush Ln Quilcene, WA 98376 Ref: BLD12-00387 We are in the final stage of completing the requirements for final occupancy of your new Single Family Residence at 295 Nickelbush Lane, Quilcene WA. The only item left to complete this occupancy is to have Environmental Health sign off on the septic permit, which was issued with the condition that the existing cabin would become an "Art Studio"with a bathroom only. Therefore the existing cabin is not and will not be permitted by Jefferson County to be used as a residence. This condition was on the site plan when the permit was issued and has not changed. To fulfill this requirement we request you sign this letter acknowledging that Jefferson County Community Development Department has approved use of this existing cabin as an "Art Studio" not for occupancy as a residence. Please return the signed letter to DCD and we will forward a copy to Environmental Health. Thank you for your assistance in completing this issue. ``'pQ ADA a Dopei''i Carl Smith, Director Dept. of Community Development , �FQf WASH 411, 14110 1110 I acknowledge that the existing cabin located on parcel 8013 "103, 295 Nickelbush Ln. Quilcene, WA 98376 will be used as an "Art Studio"and not as a residence, temporary or permanent. Janice Misne . Date: 5-in/ 4_ Riley Parker: Date: Frank Hall From: Shirley Reynolds Sent: Monday, May 12, 2014 10:42 AM To: Frank Hall Subject: RE: 295 Nickelbush Lane Thank you Frank. I appreciate the email. Shirley Reynolds Jefferson County Public Health Environmental Health Division 615 Sheridan Port Townsend,WA 98368 360-385-9444 From: Frank Hall Sent: Monday, May 12, 2014 10:07 AM To: Shirley Reynolds Subject: RE: 295 Nickelbush Lane I sent her a letter requesting their signature that the existing cabin will not be used as a residence.This existing cabin will be approved by DCD for use as an "Art Studio with a bathroom only".This document was mailed from DCD today. I also called Ms Misner and notified her that this letter was coming and a signed copy was to be returned to our Office. I will let you know when we receive the signed letter back. Frank Hall Building Inspector Jefferson County DCD 615 Sheridan St Port Townsend,WA 98368 From: Shirley Reynolds Sent:Thursday, May 08, 2014 10:59 AM To: Frank Hall Subject: RE: 295 Nickelbush Lane Hi Frank, Were you able to get in touch with her? I promised a follow up call if needed. Could you let me know-thank you. Shirley Shirley Reynolds Jefferson County Public Health Environmental Health Division 615 Sheridan Port Townsend,WA 98368 360-385-9444 From: Shirley Reynolds Sent: Wednesday, May 07, 2014 11:06 AM To: Frank Hall 1 • Cc: Randy Marx; Carl Smith Subject: 295 Nickelbush Lane Hi Frank, I just spoke with Randy regarding this property and their septic application. He told me that you were going to be following up on this. Jan Misner has been calling our office wanting to know why this septic has not been finaled yet. I would like to expedite this if possible. Can you please call her today at 425-736-3369 with the status of the letter? Shirley Reynolds Jefferson County Public Health Environmental Health Division 615 Sheridan Port Townsend,WA 98368 360-385-9444 2 Frank Hall From: Jodi Adams Sent: Wednesday, May 07,2014 11:24 AM To: #DCDStaff Subject: Port Townsend Leader password The login in portal for the Leader is a little different than it was before but we can still view articles and view the paper in standard paper format as we could in the past. Login #dcd @co.iefferson.wa.us Password DCDstaff Jodi Adams Office Coordinator Jefferson County Department of Community Development 621 Sheridan Street Port Townsend,WA 98368 Phone 360-379-4494 Fax 360-379-4451 jadams(a?co.jefferson.wa.us All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. 1 1 4 pat,44 ; 1'1p " , x„, i1 983%l0 Xd f a -PI'Ame £2 eit1 -�� „, L.fia, P i 1 * Oft ; 1 /Ze ' � _ i w s/�"/ , ':./wT.. fit♦ - .•�!� �_�.: � _ : , �. - . .,„ =/ I At'/ ' q ors - Q �� [,Akf,A 11111/411Re IffillIW/, 'Or / v 01 , a7 / 1 i 1 / /.a'.f,�w..' � +% I:I w. :��.►i>.a- ►../,.F�. s'1."� /:w.'.+�w.a+:v.�-�i�..�..�Ia '"/'�.....'_il ���I i l ja-41.) i../ . ize41 f 1, 1414-1- rfr€--'-ler-- ---Pra A4414,11144-1-' -elk-) 11-4- ,,s014711-1-4--). . 11 ap...eied& i .412,41 iiiidA, 1i l d ' , i cc , 24'1 it i cxa l A +41J ` IIPIPIIIIIIIIIIIIIIIIIIIIIIIIMMIIIILc, . i WA =...-k.4.....■ .. . ‘ - JEFFERSON COUNTY • la_.,,Iii...:,,,,,*,i4,14:,,c„,,,c4.,:,, i IAV',..-; :i 621 SHERIDAN ST. ip E 0 E II V PORT TC'A NSEND, WA 93363 \n tolty 1 9 2014 9164., Ir L L — _---- ■ ',,,, • ..;,07,;TY•-1 ,., .„-vvIr v 1,1_,FvFinor\AFNT - 03.05/14/1.4 9E9 SE les"' NIXIE RETO" Ms. Janice Janice M Misner 1 Mr. Riley M Parker TO F 14"Al t. ORWATtO UNABLE 1 295 Nickelbush Ln * Quilcene,WA BC,A 98376 921. 119115113i 61814311 it „1,112,15118i1911-11r!12971.117:;113:14":!37 1' sez—e-ss-at-i.95 iliiiiiiihiliplii,..1111111thili.11,111pliimihillibibili s0N oo � rr a �t JEFFERSON COUNTY a, X F-4 ri`7G`7 Q DEPARTMENT OF COMMUNITY DEVELOPMENT Ngyl NG•,0 I Date: 12;._) Time Received: a(CI r&pm Mon. Tue. Wed. 41100 Fri. Date: (� BLD: r2 -3 e 7 Contact Name: Owner: Contact Number: 360 Lk S 736 33(q Address: Vri G` ',i I the.IIQ,ict -10 s Ica q Q 91 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • • • Vii • '12E . ti:, Date ti2.0 time received ,> am pm Mon. Tues. .Wed: Fri. BM: i 2- .357 �' Date: g/29 OWNER: Re wee /-.41ZKLie: Contact Name: ADDRESS: zqc • £of..KLE BGUSU ' ,,„ Contact Number 360 3/4 qg 97 Notes: • 131 'flr.?�dd.�.o • r BL.CaClctn�G 206 :Foundation Plumbing •Framing Propane Tank Mechanical Setbacks _ Under-ground_ Framing Underground Furnace Footing Rough In Air seal Above ground •_ Gas — _ Stemwall __ Hydronic Exterior shear Exterior lines _ Oil Straps Interior shear Interior lines • Ducts f_ . Post Hole _ Ventilation ____ Appliance Underfloor Gas/wood stove Man.Honses — Setbacks • ' Insulation. Final Inspection Foundation- r Sj Block&Tie _ floor wall ceiling C 9" Address Posted • . - . , • . ...-41v..t.. .1. . • . • . 11 Attl.;.70... . . . . • ikattifila Ka- - . . • - - .7- ::-JaTi.,117 -47..,44• ;6e-I I 111 ." ,....„.".......:- •,—... .:.-4-:.5.z:-.;:4 . . . . _ Date 3t-, time received Z:4z_ am Mon. TueS ecl-• Thur. --Fri. . . • BLD: I z Date: Oo3f37 , • - - - . . • . - • OWNER: - . - Contact Name:. . . 1, . 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Man-Homes . - Setbacks _ - Insulation. . • Final Inspection Foundation-____ !.--: -..-. -.i-'• . ,... Block&re floor wall ceiling . Address Posted • s ': . , . . , •.......:2N,W. i•••01. 470e,k' " - -, . • - '".'-',°:411.4,v...;........ - • • " -.:4: #Vmr.F'i EJ-,f4.1,1 • • kF.12. W.4..s,4-tif;:f A;F • - r1 sz. • 2 V..t.44.-P 1;31.' . •. ,..;...e...,--. ....°:-..-.—t.,-...,...Z.r.• - • • . ...Z " •.."" . Date 10- 11 time received &2:1 pi pm Mon_ Tues. 0 Thur. —Fri. • • BLD: P. - .. .g.7 Date: 6-C?--- 266.1 OWNER: - . Contact Name: k.ADDRESS: 295 Pt(A14 t IAA)6 Contact Number.360 , - 206 • -, ',.; Notes: - • . • . • . - . Foundation Plumbing - Framing Propane Tank - Mechanical -. ' . _ Setbacks Under-ground Framing Under ground Furnace Footing ____ Rough in Air seal Above ground - Gas• Stemwall Hydronic Exterior shear Exterior lines • Oil • Straps — Interior shear Interior lines , Ducts Post Hole Ventilation • Appliance - Underfloor _ Gas/wood stove Man-Homes - - Setbacks Insulation. • Final Inspection Foundation. . Block&Tie floor wall ceiling. Address Posted ' ..- t/ Date 9/2s time received Yo am C.) Mon. Tues. Wed: Th u r. Fn. • BLD: 3 O 7 Date: el OWNER: ' Contact Name,: 8,q S - h l �di 6,s 1k Contact Number 360 31 5 99 7 Notes: 206 • Foundation Plumbing - Framinq Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furnace _ Footing Rough In Air seal Above ground _ Gas _ Stemwall _ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines _• Ducts F_ . Post Hole — Ventilation . Appliance • _ ,Underfloor Gas/wood stove Man-Homes —.. Setbacks ' Insulation. Final lnspection • Foundation t 4 Block&Tie - floor wall ceiling t . - 9 � Address Posted 'a• rna_ Date li /6 lime received 96 6 e, pm • Mon. Tues. Wed: -frt. - BLD: R -3 gi 7 • Date: / ii OWNER: / -/ Contact Name; • ADDRESS:,• . J(C to/ ` Contact Number:360 l 7 1.• 206 fir. Notes: - ' .Foundation Plumbing • Framing Propane Tank Mechanical • Setbacks Under-ground A. Framing Under ground _ Furnace Footing Rough in Air seal Above ground • : Gas _ Stemwaii __ Hydronic Exterior shear _ Exterior lines _ Oil Straps Interior shear — Interior lines . Ducts !f_,_ - . . Post Hole Ventilation Appliance _ Underfloor Gas/wood stove— Man•Honmes - • Setbacks — - Insulation. • Final Inspection • Foundation-` ' V Bieck&Tie _ floor wall ceiling. . Address Posttd W1 tii . ..7.... Date 11—Z time receive 72 i I am al Mon. Tues.6VA G. —Fri. • • BLD: /2- - 37 Date: 1f- 3 . . . OWNER: . Contact Namet - • el n..7 . ADDRESS: ..2-9 5 - ivic_ 614,54 .1-70 Contact Number 360_ 067 9 1 7 t _ 206 Notes: v-----7-6, D re4;vt., • Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing _ Undei ground Furnace ___ Footing Rough In Air seal Above ground - Gas ___ Stemwall Hydronic _ Exterior shear Exterior lines Oil - Straps Interior shear Interior lines • Appliance Ducts f._...... - . Post Hole Ventilation _____ Underfloor . Gas/wood stove Man-Homes . Setbacks • Insulation. Final Inspecn tio A _____ ,0 Foundation . Block&Tie floor wall ceiling. . Address Postbd _____ • i I � til iii�M�iii 7. Date time received 1 pm a Tues. ,Wed. Thur. -Fri. BLD: / l,- —3k7 Date: :?-/7 • OWNER: ffall,e'~ Contact Nemec ADDRESS: J!"S^ • ✓V'cita/t✓fC,• Contact Number 360 412 5"7363t? 206 4• • Notes: • .Foundation Plumbing - Framing Propane Tank Mechanical Setbacks iX Under-ground Framing Underground _ Furnace _ Footing `S Rough in Air seal Above ground _ Gas — Stemwall __ Hydronic Exterior shear _ Exterior lines _ Oil Straps interior shear — Interior lines . Ducts f^. . . Post Hole Ventilation Appliance _ Underfloor Gas/wood stove_ Man-Homes Setbacks — ' Insulation. Final lnspec on ,, Foundation. • . ;,. f;.‘ Block&Tie floor _wall ceiling. . Address Postd • --:— , -..• ,.._ . - .1•J,... ig•-.1-,-,.<,*? • - * " - WilitSr -rfrait - . . . -.-,....f....-:---._ ... . - - "1.1Zi, - " "2- • • -• • - - Date_-------_ time received ( 49 I pm 0 Tues. _Wed: Thur. -Fri. SW: . - Date: - 73 1.35,1-q OWNER. Contact Namer. ADDRESS: C (CAM 60 (1, - Contact Number.360____.______ . ,..„-.,,.. • 206--_______ 4 Notes: 6u-rec 'c.c."- - . . Nur__j.____apin Foul.ation pro al :1-ank iglecleat . Setbacks — Under-ground Framing . Under ground ______ Furnace Rough in Air seal — Above ground - — Gas — F:te_rn°tinwga — Hydronic _ Exterior shear ______ Exterior.lines _—_—___ Oil cts - • - --- " - Interior shear Interior lines L_____ Straps —_ Post Hole _____. Ventilation . Appliance —• U nderfi6or _ Gas/wood stove____ I'llai_a-A--4.°nIes . Setbacics ______ • Insulation Final inspection --.--: i-f,•-i Foundation,__ __ _;:. Bic&& e _ floor wall ceiling ,______ Address Posted .. . • - ,a-ic mo=o: •"i',,i,-;\ • . . S i^ r if. °4 . . .. :14, Mon Tu S. ,Wed: Tbur. -•Fri. Qate���J �'time received am t pr C✓7 Date: • BLQ: Contact Name: '3� 36 q OWNERi Contact Number: �— , �� V∎ cS ,atb6l� 3 c6 94 ? r r Notes: Mec�al • Framin . Pro pa_ neTank Plumbin Furnace •.Foun�?O� Under ground Under-ground___ Framing Above ground Gas Setbacks — Rough In Alt seal Exterior ground - Oil Footing Hydronic Exterior shear _ Duds k ---- Stems Interior shear _____ Interior lines Appliance Post Ventilation . ____ Gas/wood Appliance stove____ Post Hole � Underfloor _____ - ManeS Final Inspection S tnsu n Setbacks Address Posted Foundation _ floor _wall_ Celling� Block&Tie _ floor Frank Hall From: Carl Smith Sent: Thursday, May 01, 2014 2:06 PM To: Randy Marx Cc: Frank Hall Subject: RE: SEP12-134, Meisner, Nicklebush Randy: I asked Frank Hall to follow up on this. He is in the field now but I will inquire about this when he returns, or you may contact him directly. Thanks, Carl From: Randy Marx Sent: Thursday, May 01, 2014 1:59 PM To: Carl Smith Cc: Shirley Reynolds Subject: SEP12-134, Meisner, Nicklebush Hi Carl I came over to your office a couple weeks ago to discuss a property that had a finaled home w/o a finaled septic permit. The issue was an existing cabin that was to be converted to an"Art Studio," (or non residence.) You said you would write a letter. The Meisner's have been calling me. Do you think you will be able to get to this in the next week or so? I would like to get back to the Meisner's to let them know where we are at? Thank you /Rassdft liter_ x Always Working For a Safer& Healthier Jefferson County 360 385 9402 ><((((> ><{{{"> ><( ((°> ><((((°> ><((((0> >< (( °-' .1<{{{"> ><»<> ><(((c 2 Septic P'e mtt Online faiikl Environmental Ilea lth Web Site;(Link) CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. Any unauthorized review,ose,disclosure,or distribution is prohibited. If you are not'the intended recipient,please contact the sender by reply e-m d destroy all copies of the original message PUBLIC RECORDS ACT NOTICE: All esmail sent to this address has been received eived br the tellurian-1 C;ocrntt cmnail system and is therefore subject to fire Public Records.pct,a state laws,found at RAW=12,56. Under the Public Records law the County must release this e-mail and its contents to me person who asks to obtain a cope'(or for inspection)of this el.mail.unless it is exempt from disclose cc strider state lava,including RAW 42.56. 1 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 SITE ADDRESS: 295 NICKELBUSH LN Issue Date: 01/30/2013 QUILCENE, 98376 Final Date: 12/19/2013 APPLICANT: 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 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 12/19/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 1/23/2014 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. Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information i_c_r_s_ ktut4 LLik„..;.,,,,...e_ rage_ `, �.,a =-a Ind 19-2 °1 '7`$, • ., - i t .II /;1\)r r This set of forms has been developed to assist permit applicants documel i -�=Y t` Washington State Energy Code,(2009 edition).This set is for structures i t it,.. ..za ems..-n• • --1737.' in Climate Zone 1. i The following forms provide much of the required documentation for plan fp w .Thy O tails taot2gTere must also be shown on the drawings(WSEC 104.2). j J U This form is not a substitute for the energy code itself.To obtain a copy 1 the energylE code, N COUNTY go to the following web address.http:lhaww.energy.wsu.edu/code _DFPT,OF COMMUNITY DEW!ORIENT Glazing Wall12 Wall-into Wall-ext4 Slab6 Glazing U-Factor Door 9 2 Vaulted Option Area°: U-Factor Ceiling Ceiling; Above Below Below Floors on %of Floor Vertical Overheads' Grade Grade Grade Grade R-49 or R-21 R-21 R-10 01 13% 0.34 0.50 0.20 R-38 R-38 Int' R-10 R-30 TB 2, Adv. R-49 or R-21 R-21 R-10 011 25% 0.32 0.50 0.20 R-38 R-38 7 RI,B R-10 R-30 2, Int. Adv. R-49 or R-21 R-21 R-10 h III Unlimited 0.30 0.50 0.20 R-38 R-38 R-10 R-30 2' Int 7 TB Adv. See WSEC table 6-1 for footnotes Glazing Schedule Attached to Document ivr Does not apply.(SEE INSTRUCTIONS)Using Prescriptive Option III.All glazing and doors meet maximum U-factor.Alternate heating size method submitted. ❑ Option I or II,Glazing to floor area limit(WSEC 602.7.2) O Area weighted window,skylight or door U-factor(WSEC 602.7.2) ❑ As part of the heating system sizing calculation(IRC M1401.3&WSEC 503.2.2) Radiant slab: ❑ R-10 foam insulation,continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required Opt. Opt. Description 1:1 1 a High Efficiency HVAC Equipment 1 iz 7 lb High Efficiency HVAC Equipment 2 ❑ 1 c High Efficiency HVAC Equipment 3 ❑ 2 High Efficiency HVAC Distribution System ❑ 3a Efficient Building Envelope 1 ❑ 3b Efficient Building Envelope 2 ❑ 3c Super-Efficient Building Envelope 3 El Air Leakage Control and Efficient Ventilation ❑ 4b Additional Air Leakage Control and Efficient Ventilation 5a Efficient Water Heating ❑o 5b High Effieciency Water Heating ❑Et- 6 Small Dwelling Unit ❑ 7 Large Dwelling Unit *1200 kwh ❑ 8 Renewable Electric Energy 0.00 Total Credits WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010 A. k Glazing Schedule Project Information Contact Information Conditioned Floor Area Sum of UA for Heating System Sizing' I Sum of All Glazing Areas From Below Glazing to Floor Area Ratio 0 � i. i it to exceed 1%)1 I Exterior Doors �,9 I��- v Plan Component Do i-_\earcent Width Hei!I t Glazing Door Door ID Description Ref. U-factor;Glaze E Qt.--FeetaMI2 Fe- Inc,' Area Area UA i r1[R IN CC4II11 . . A ' nt" r i "VFhPMEN- One Exempt Swinging Door<24 Square Feet — Sum of Glazing Area, Door Area, and UA (do not include exempt door) ' Area Weighted U=UA/Area Sum of Area and UA for Heating system size only(include exempt door) ' Vertical Glazing(Windows,Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet Inc' Feet inch Area UA Sum of Area and UA I I Area Weighted U=UA/Area WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 . l Simple Heating System Size: Climate Zone 1 Project Information Contact Information Indoor Design Temperature 70 Outdoor Design Temperature Z3°F e 8 7'F''' C„ ) Nte,...,) Design Temperature Difference(AT) AT=Indoor-Outdoor Design Ter 70 ` - / .., -70-a-10 -y ?"�` / Conditioned Floor Area 0 \--------- ( Conditioned Volume Z.7,237 Glazing Copy Sum of UA from Glazing Schedule Attic U-Factor X Area = UA R-49 0.027 tR-38 Advanced 0.026 )4_00 ?F,- 4-- I ( a VIE r or Joist Vaulted Ceilings s Single Rafter g U-Factor X Area = UA DEC - 202 R-38 Vented 0.027 j 3e 33. ¢ j} Above Grade Walls U-Factor X Area = UA JEFFERSON COUNTY R-21 0.056 oO 3i 11'N. 1 L DEPT OF COMMUNITY DEVELOPMENT Floors U-Factor X Area = UA R-30 0.0291 2..10 cD 0. Z Below Grade Walls U-Factor X Area = UA Z Depth Walls 0.042 3.5' Depth Walls 0.041 7'Depth Walls 0.037 I Slab Below Grade . F-Factor X Length = UA 2' Depth 0.59 3.5' Depth 0.64 7' Depth 0.57 I I I_ Slab on Grade F-Factor X Length = UA R-10 2'perimeter 0.54 R-10 Full-Heated 0.55 I I I . Sum of UA 244.-7 Envelope Heat Load I 1 1 f 4,6 1 Btu/Hour Sum of UA)CE 47) Air Leakage Heat Load I 1 Btu/Hour ((Volume X 0.6))CC TX.018)) Building Design Heat Load Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 1 Btu/Hour If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% Btu/Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 jene--C-ce /72 e/ Water: • Cabin and ag buildings show up on tax rolls in 2005, no permits • Well drilled 2007, 700ppm chloride on well report(likely not used for ag or potable water) • Building permit applied for: reasoned after looking at the 800 ppm chloride levels that water not being used for drinking or stock with those levels submitted with potable water review. WRIA 17 required, no consult with ECY • Owner contacted ECY after building permit issued with re: requiring WRIA 17 meter. Claimed to have gotten an exemption, I told owner I would discuss this with ECY. • I called ecology in late December to discuss. Compliance person agreed with me and said the metering person contacted should have gotten documentation to prove use prior to rule. • I then checked the building case and found out that the permit had been finalled,all of the water requirements for ECY had been deleted from the case and the septic system was not finaled,still awaiting the illegal cabin to be converted to a "studio". CO o ed CO o CO \ \ \ ? E 3 ° — G 5 00 @ 2 / \ � \ \\ � / 2 / o tal'14\ \ \ ® d CO j / $ m 2 2 \ '0 o y A % / / / CD J r � & 2 \ \ / \ \ Q // \ / / o \ \ ® ®\ £ \ \ & el)Q » * 2 n 9 ¥ ¥ x k k x k t* \ 2 . 2 k k k k k v k4 lit d o 0 0 t. 0 0 & 2 2 0 0 0 0 0 3 m m m m m m m 00 CfCi I < I x 4$ / \ \ \ � � \ \ k \ k \ \ / 2 ~ S ~ G Q 2 3 S 000 %k 0 2 § § $ \ $ $ } ; & a 9 E ` 2Em & ® CD g 2 EcLrC- \ \ / % \CC D 2 \. \ \ / 7 _ \ e & { - d &). x.Q ® .a ori I Q Duct testing Calculator (New Construction) House address or lot #: 295 Nickelbush Lane Conditioned Floor Area: mn Duct tester location: Pressure tap location: Ring (if applicable); Open 1 2 3 �, T Test Mood & . a � , Sim ndardl ra i MA Air Ha I&Present .06 X CFA<_ CFM25 .6 P r100sf®f CFA Air Handler Pr t .04 X CFA<_ CFM25 444 l& -` �sf of C I `< ��) r e Ey hcE� ESE ® � , •3 08 X CFA Tr< e ri <_ CFM25 x( �= f, 06 X CFA<_ CFM2S gE,Gth CPA G� t .,P ,,` ci- eo e f t Be € �-'''', .-r;-`,•-..--' a yr e; G`�- .3 ' < E €� aS°1� '� 4� .' d` -,, 11,^E 5 ' ,,,:,6,.,'- n m atali p® y (( 2/36 CFM5OX0.055)_( 2350 144))=SlA I/7. 6 divided by 338 400 = SLA SLA= .oa03 ra-'�'.... a:.p. ^^ _ av x s4, � 4 *;,...r.• _ "..., .`"",`-y l �. ; 4` v tw - '"Y €., w yd ' fit ygp� r ss v'.• ' TP P''.9' ,X ¢t ° }� �" 8 '.,,*''''.."`r'1':' e g.,,,,�s° U"'w� ' g @a r� vc�a E .s [ y yr:'t1-€ e '. , t Eieo- °' ;`1./14::".•, a. 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A- O ..0 < .■ W Q7 ti N r '-i N N •-' O k3 > O 00 . n N Ve '2 r w Z O• O O • n N O`e A' c7 �N- co z C O ,:- O 0 5 � CD "�i7 � O (� K bQ `G iD '0 00 9 p Fp C E yy Z cn �l N <a O 'LS 'r" Ft t7 IJ J 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 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD12-00387 Received Date: 12/3/2012 SITE ADDRESS: 295 NICKELBUSH LN Issue Date 1/30/2013 QUILCENE, 98376 Expiration Date 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: PROJECT DESCRIPTION: NSFR W/ATT GARAGE &A/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 400,000.00 MAIN: 2,109 CODE EDITION: 2009 ADD'L: HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: 265 GARAGE: 702 SHORELINE: CONST TYPE: SETBACK: DECK: 578 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,673.75 LYK 12/03/12 139793 Exist: 0 Exist: 0 Plan Check $1,737.94 LYK 12/03/12 139793 Prop: 3 Prop: 2 State Building Code $4.50 LYK 12/03/12 139793 Total: 3 Total: 2 Potable Water Application $64.00 LYK 12/03/12 139793 Total: $4,480.19 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED • S 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 17 and thus is subject to compliance wise WA State Department of Ecology In Strea Flow Rule for that region. The parcel is located within the Donovan Creek sub-basin in a designated Reserve Management Area; as such, 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 authorized under RCW 90.44.050. (WAC 173-517-120(1)(b)) 2. A well serving a group domestic system shall not exceed a maximum use of 500 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 173-517-120(1)(c)) 3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE 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 http://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. 13.) Minimum setback from Nickl h Lane right-of-way and any private ingr gress easement rights-of-ways shall be feet. 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. 14.) The building height is not to exceed 35 feet. 15.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\tiriemark\riata\fnrmc\F RI fl Permit RlrIn rnt 1/3 on !I