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Home My WebLink AboutBLD2013-00125I BUILDING PERMIT APPLICATA BLD13-00125 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00125 Received Date: 4/17/2013 SITE ADDRESS: 7802 FLAGLER RD NORDLAND, 98358 OWNER: JONATHAN J COHEN PHONE: 4403 THACKERAY PL NE SEATTLE WA 981056124 SUBDIVISION: Block: Lot: PARCEL NUMBER: 021291032 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,387 VALUATION CODE EDITION: 2009 ADD'L: HEAT TYPE: RAD OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 1 OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: 1 Prop: 2 Prop: 1 Total: Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date State Building Code $4.50 MKF2 04/17/13 142002 Plan Check $673.11 MKF2 04/17/13 142002 APPROVED Permit $1,038.55 MKF2 04/17/13 142002 Potable Water Application $66.00 MKF2 04/17/13 142002 JUN 17 2013 Total: $1,782.16 Jefferson County DCD 1lHrIAmcr1.1rlctcl6.rmc1L RI Il An.. Rid rn+ AHRP R11 4EtiSON Cb6- DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web: ;w.co.jefferson.wa.us/communitydevelopment .9, �Sff 0` E-mail:dcd@co.iefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT #: BLD13-00125 APPLICANT: JONATHAN J COHEN PHONE: 4403 THACKERAY PL NE SEATTLE WA 981056124 SITE ADDRESS: 7802 FLAGLER RD Issue Date: 06/17/2013 NORDLAND, 98358 Final Date: 8/5/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 021291032 Section: 29 Township: 30 N Range: 1E PROJECT DESCRIPTION: NSFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes 8i THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/5/2015 \\tidemark\data\forms\F_BLD_Occupancy.rpt 8/5/2015 • Jefferson County Building Division Permit Numper: BLD13-00125 Applicant: COHEN BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes 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(4 F Erosion Control —7I 1(er Foundation Footing Footing Drains ( - )`-• Foundation Stem Wall Cl((3a 13 Underground Plumbing 5/7��A Under Floor Framing (114/L., • Straps(hold downs) Ext. Shear Wall Nailing msfii Rough-in Plumbing Framing t(ll \\ king A al I •_It > Insulation: 11 Walls I_/� Insulation: Floors Lf.4 Insulation:Ceiling 1 —(Gr`jG Int. Shear Wall Nailing MOM** EB Wallboard Nailing 7/41S IiAiu I`u,Y UK IL/ f I4 f Gas Line: Interior ifb 0-lit 4-17 Gas Line: Exterior PJA Propane Tank V/1//5 Heat/Chimney Clearance 0/A Heat/Chimney Clearance �/A Free-standing Stove )/A Mechanical Systems .?/116 Blower Airtight Test f/fl,/IS _ Smoke&CO2 7//k/�S 0 # Drywell/Alt Drainage 10/3D `1C Address Posted 7/4 /5 (-54, Hydrostatic Test �`A • • FINAL INSPECTION i/i1//5 # 6,e Poi- C.O. FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00125 1.) 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. 2.) The site plan as submitted with the Building Permit application on April 17, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated April 22, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\firtamark\riata\fnrmc\F RI fl Parmit Rlrin mt R/17/9(111 50N `4.�' cod,\ JEFFERSOMOUNTY E C F Q V 7, . N� ,.: DEPARTMENT OF COMMUN EVELOI-JMEN i ! "' ' 1-C 621 Sheridan Street • Port T t Ri 1 i / :,i ekd •Washington 98368 L(31 �j— ) , , 5,---.:_-_ 360/379-4450 • 360/379-44 1 ax' / ` I p www.co.jefferson.wa.us/com "ebillopment _.*/,:s HIND JEFFERSON COUNTY Master Permit Application ! DEPT.OFCOMM!!NITYDEVELOPMENTML Project Description (include s arate sheets as necessary): --� d.' Ltz. 1 51 J(ei 1 oTax Parcel N ber: ei� 02 -Z11 -O Ijy Property Size: t .0 I ' uare feet) Site Address and/or Directions to Property: , 1�02- -F-t ik c%j ( AC- fv` tv\y i yr g"'ic S-r, ()Mg ke.) Property Owner(s)of Record: N #CN ' . t"�O.I-'E�c.1�1 Telephone: WU'',— $Cr5 — Stli 0 Fax: email: 'Tj CC01-{E.N(J C eMCAc -r- MailingAddress: seto3 -CV\ec� t_pky el- . Ne, SC.t'(T[ft t,./A 'f31o5 MLA- i Applicant/Agent(if different from owner): Telephone: Fax: email: _ Mailing Address: What kind of Permit? (Check each box that applies ❑ Lot or Road Segregation (Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) VLSingle Family ❑ Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification • Commercial* 0 Special Use(Essential Public Facilities)** O Cnange of Use 0 Boundary Line Adjustment O Address _ ❑ Road Approach_ 0 Short Plat** ❑ Home Business 0 Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** ❑ sign ❑ Plannea Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑ Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium El 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 harr 13i>-1..- : my a•-inst all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may jnt any way accrue a•. s Jeff- son. •ounty a a res It of or in consequence of the granting of this permit. I further agree to pro id, access and rig t of e try t, Jeff .n Coun y and its. employees, representatives or agents for the sole purpose of application review and any requi d ter inspectio -. Sta s a, e . d right ,f ent will be assumed unless the applicant informs t e County in writing at the time of the application at he or she wa prior •.ti Signature: �"I' - Date: 2_J` 1 r -75 The action or actions A 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" • - - 'angered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson '. n ,• - es no -ssurances to the applicant that the actions that will be undertaken because this permit has been issued w,0ll not violate the %o A , •. .ual,g •up or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are i compliance i e Jet�:: •. •unty .evelopment code.The Applicant acknowledges that he,she or it holds individual and non-transferable res nsibility for:d g to:Tit ,i plyi'. with the ESA. The Applicant has read this disci 'merr a d((signs and dates it below. ll Signature: �� Date: V I 1 l G:\PermitCenter\###FORAMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc ,_ 1 411 BUILDER STATEMENT The signer of this t tement does -reby.- 'y are the Owners of the parcel ref need herei(n,that they are not licensed contractors and that they will be assum g the responsib ity of th. I . Co. ra tor for the proposed pro'ect. jam 1, ` . r Date: V9 Signature: _._ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) 355--F11 o ( ) 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: C Sewer O Addition ❑ Steel Proposed: —1— Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: ( _ Height: XIndividual System O Repair 0 Masonry — SEP Permit# S'ail7-o°2-$e7 E Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ Setback: ❑ Private well 11 Two Party Type Proposed: — Public II ° �0e- Total: Name of System: — 041.1 A If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants (includes owners,tenants,employees,etc) Current _ Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank l Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove l Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove l Other _ Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated -;-1:ILO I gS EH Bld App Review: 787• 00 2"d Floor Heated X _ Consistency Review: gag i , ,\ Other Heated , Base fee: O /a 5 Mezzanine Additional Section: ------"'•-• Heated Basement X _ Plan Check fee: (073, Unheated Basement l5C' - - State Surcharge fee: //,CD — — Other Unheated ------ - Pot Water Review fee: I O 0, CO Garage/Carport K-- _ SUBTOTAL Decks _ 911/Rd Approach fee: l Other TOTAL: $a ag, 1 Receipt Number: I4DOc a Cash/Check Number: aE ESTIMATED COST(REQUIRED) Date: ( Q .Fair market value of all labor and materials foundation to finish `� 1 el i I 511 (eD Initials: f (..........2 r-.\n.._.-.:.e \4+4+ftPC 1?r fCI:Hilt\rw n PCP MC\(--,,,,,,t TIP T)Forms\Matter Permit Annlication 5-29-08.doc 1 410 0. ��g".5°N cow JEFFERSON COUNTY _ r4 \:\ r3 DEPARTMENT OF COMMUNITY DEVELOPMENT fAL "'.J tZM '''�`- ";', . 621 Sheridan Street • Port Townsend • Washington 983684rN �w pNLli.>1 O 360/379-4450 • 360/379-4451 Fax 1S... http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: 5RZ-/ -.leatP'�Y .41\.,t CO[' .•.‘V DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as "small,""medium," or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E., SITE) Size of parcel 1• 0( acres An acre contains 43,560 square feet. Multiply the acreage by this figure. p Size of parcel in square feet AS 1S 5 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded, filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landsca.ed areas? Drainfield, septic tank, etc. sq/ft Circle: Yes No Well, utilities, etc. sq/ft Does the project convert 2 1/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. a sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance (- U sq/ft Cut Fill (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 1 r Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) sq/ft Structures (all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc sq/ft Other sq/ft Other sq/ft Total New _sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 0/0 Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to he best of m =- - •o certify that this application is being made with the full knowledge and consent of all owners of e affected,•op iif10lO(3 (LANDOWNER R AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet Rev 9-9-2010--REV 9/9/2010 2 5! v QI NO 0 A7 C W P Ly, E4,5r L-A-n UK) vz..---io w5vtZiol"i 2)<-A �,�INa rA Fr E-0 IE 0 v F JEFFERSON COUNTY ----DFPT. OF COMMUNITY DFVFI OPIVIFNT W�G1��r NUT Ix, (o \ ri P iot -/A,OIS'r DArclg- P4.) "T IL- 02-1 - M I A cor A IN) As� �cllpvkc-lsromr saw-e51-151 ii I (y Na UU ft)9 0 -�7 1 2S, I 112 Vi l t > 4- 0; io I ---- --- - -- -..- -i Lo ko coli -03 ��0 41 L44,.l ? D FE 0 v FE I V k �� n!rAPR 1 7 2013 .O JEFFERSON COUNTY DEPT OFC0MMllNiTvnpi/rin0KfirhlT o, rt-VIA ft- w - �\JlAcl) otN 3t 3 - \�11y ��T� c, L0,10- Yjr A. A I wvx, jws (s) I cplz-� I A�o --t -1-11 fz-,a,p ►,3 f3aoc-'r- (01 6k 'trj- j- 011 lv6 4b"11W .. ........ 55 9 0 L � EJ JEFFERSON COUNTY DEPT. 0 FCOMMLINITYDFVFIOPMFNT e3j 10 D c C�_ =� APR FA P�l 1 JEFFERSON COUNTY --p-LPLOLCOVIMUNITY DFRIFLOPAVNT 9k, � ""A b 03 �--- �-�f�� _ _ !�otJ,�t1- �tJ Ga c.o OF cTyp) ;, fit, PMf-,,F- STk-_0 zo, D ? A Al. 11. I• I ti w -11 -11 "o-T 10000000001DO 0 • 11 165, \v co tAw `or f 72s�Z Fr, vao►?I,!�iJi�j.Vi� �i ��,5 coli ON, -P JEFFERSON COUNTY DFPT OF COMMUNITY DFVFI OPKIFNT 0 hkl!!-; . l -OUT" Ad. To r2, W/-,�t7iqw ni --a I F IEX-V ct�%Vr -m ( (DLIT -0 II 51 If I -To wxxfA VWT s"o cool Al? TI 4% A VI C, 0 % JI w 4;IF(vp'5 - A-A I NY>\) � A'Ti 0 1, 1 C1 �)'F , CO?-� (we) ON 1 7- Tq£,NC-H TO � . (?OL� -7 ,41 r RIF- LUJ) JEFFERSON COUNTY OF CO"NALINITY DEVELOPMENT HZA0'A zTt-v Ce) CO/ACe4ar.OZ5�r 20(0- 3J55 -E39 10 (+ "T, Nom?' U-,)) -fz-0 Ici v � z 4+ ............ 0. ��\ Cp, m (LjzTtc� <LAfl, / f(X fv IA05C CA Ir'. Al ro -71LJrL r- — 7- D F) APP, 1 7 201'� JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT 7tD2- 53 "V� 1 0 2A - Cep co CQ^CA -.►J /1-71