HomeMy WebLinkAboutBLD2010-00327 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 #: BLD10-00327
SITE ADDRESS: 7013 FLAGLER RD Issue Date: 04/18/2011
NORDLAND, 98358 Final Date: 6/19/2013
APPLICANT: PATRICIA M BURNS TRUSTEE PHONE: 360-385-1516
S & K BURNS
6945 FLAGLER RD
NORDLAND WA 98358-9517
SUBDIVISION: NORDLAND Block: 10 Lot: 10
PARCEL NUMBER: 976201004 Section: 32 Township: 30 N Range: 01 E
PROJECT DESCRIPTION: NEW GARAGE/SHOP - UNHTD, NO PLMB
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/19/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 7/12/2013
Jefferson County Building Division Permit Numb". BLD10-00327
Applicant: BURNS TRUSTEE
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks 7 � // Ot5
CC ) pre l
Erosion Control l �1
Foundation Footing / --23_ -7 L /37-r: el 3 e PI) . fFooting Drains
Foundation Stem Wall I
/ 1.1`-�:� / �� e � h
Underground Plumbing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing se y�
Framing
Blocking
Wallboard Nailing
Drywell/Alt Drainage SEE CONDITION 16-TWO DOWNSPOUTS ARE REQUIRED AS
SHOWN ON APPROVED SITE PLAN PRIOR TO BUILDING
FINAL.
Address Posted
FINAL INSPECTION (2,. t i 5 i_
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
IJ ILDING PERMIT APPLICA•N MReview00342
Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00327 Received Date: 9/9/2010
SITE ADDRESS: 7013 FLAGLER RD
NORDLAND, 98358
OWNER: PATRICIA M BURNS TRUSTEE PHONE: 360-385-1516
S & K BURNS
6945 FLAGLER RD
NORDLAND WA 983589517 NORDLAND
SUBDIVISION: Block: 10 Lot:
PARCEL NUMBER: 976201004 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: KEVIN COKER PHONE: 360-385-2739
814 GARFIELD ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOI NEW GARAGE/SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 0
VALUATION 39,987.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 1,231 SHORELINE:
CONST TYPE: SETBACK:
DECK: 304
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
R"qti r -f (b
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $972.75 LYK 09/09/10 120056
Plan Check $632.29 LYK 09/09/10 120056 APPROVED
`
State Building Code $4.50 LYK 09/09/10 120056 APR I% Ziii'
Total: $1,609.54
Jefferson County Planning
& Building Department
• •
CONDITIONS for Building Permit# :BLD10-00327
1.) The applicant shall adhere to all shoreline exemption conditions specified in the shoreline
permit for the remodeling proposal (SDP10-00103).
2.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
4.) MANDATORY MEASURES FOR AN AT RISK SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirements:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) The applicant shall adhere to the buffer averaging and mitigation proposal, as presented
in the BGE Environmental LLC Critical Areas Assessment and Wetland/FWHCA Buffer
Averaging report (dated October 2010).
6.) 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.
7.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through#12 of the Department of Ecology's Stormwater Management
Manual for Western Washington to control stormwater, erosion and sediment during
construction. BMPs shall address permanent measures to stabilize soil exposed during
construction, and in the design and operation of stormwater and drainage control systems.
8.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened
from view of neighboring dwellings and rights-of-way. Such screening shall meet all
applicable performance and development standards specific to the district in which the
storage is kept, and shall be in keeping with the character of the area. Screening shall
meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage)yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
11.) 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.) The road setback from Flagler Road is 30 feet and the setback from adjacent residential
lots is 5 feet. The setback from
14.) The building height is not to exceed 35 feet.
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) A total of two downspout splashblocks shall be installed along the south corners of the
building, as shown on the approved site plan and Figure 3.7 of the Stormwater
Management Manual of Western Washington (attached).
•
�,` °14 co JEFFERSON COUNTY •
4� '' �V DEPARTMENT OF COMMUNITY DEVELOPMENT
'w • • '4 621 Sheridan Street• Port Townsend •Washington 98368
r360/379-4450 • 360/379-4451 Fax
p'� www.co.jefferson.wa.us/commdevelopment
\�Np�
Master Permit Application MLA: (D7-
Project Description(include separate sheets as necessary): •
oiee.,... 51...-4, 4h.".. r,-,..----0 r_Liii_______sx.tx 3g- ---k-cl A -Rib
Tax Parcel Number: a 7'e 2. i co Property Size: 254,t 6 s7" .1.1(acres/square feet)
Site Address and/or Directions to Property:
7013 Li4 L7L I i...1,c)1-n�.,,, .�� 9 g35�
Property Owner(s)of Record: Ste.ue 4 s r..e ��ur+.t S
Telephone: 3185 1 S 1(p Fax: 3S' 3 55Cir' email: 9retue o e_.a c.cu abc..cAz.v'"
Mailing Address: Soh^0
Applicant/Agent(if different from owner): (C.t'Zrt N C-0K�
Telephone: ' S 27 31 Fax: email:
Mailing Address: S(4 .Gar sf
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
❑Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a), C(d),or Cl*
❑ Manufactured Home .0 Modular 0 Discretionary"D"or Unnamed Use Classification
O Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat** S E P 9 2010
0 Home Business 0 Cottage Industry ❑Binding Site Plan**
0 Propane 0 Long Plat**
❑ Sign . 0 Planned 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)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference 0 Tree Vegetation Request
**Reqiiires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
1/ G�/Z DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
4,--OWNER SIGNATURE ./ Q Date: J � ��‘
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any requi later inspectio s.� aff ss and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli ti that he or she w is for .
Signature: Date: / �C=.c7 2.01 v
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and Could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you a in compliance with th Jefffreon - my development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer responsibility for adheri d c., • ing�with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:_ sc
Date: / e .�� 'Lc .
`.,-. ,_, , ulala 1•r.n♦"caaa\nnn rnn4ION r...._._r-nr.r. \♦r r • . I. , ..n nn
• •
BUILDER STATEMENT
The signer of this s ment does hereby certi t at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assu ' g the responsibility• t„->re al Contractor for the proposed project. v
/Signature:
- ..."/ Date: 9 JL 1
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: •
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: -lam . '*�1)
13,6 jct. e.4 ' lfi. p Fr�yu ,HONE ( )324 6 413 FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New SO Wood • Existing: . . ❑ Sewer
❑ Addition ❑ Steel Proposed: BankjCommunity System
❑ 'Alterptidn/Rernoiiel ; Total:
0� Concrete Height: ❑ Individual SystemSEP Permit#
❑ Repair 0 Masonry
❑ Other: Bedrooms: Water Supply:
❑ Demolition Existing: Setback: ❑ Private well ❑ Two Party
Proposed: ❑ Public
Type
Heat: Total: --ctfr--- Name of qrAsteny, '
UJ
If this isU 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:
1 Underground Tank I Above ground Tank Size of Propane Tank:
f Heat Stove i Cook Stove 'Woodstove l Fireplace Insert t Hot Water Tank i Pellet Stove i Other
Is this appliance bein 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 Foots a Current Proposed :office UseAty . # ., Atift i;}" Revision
g 1---
Main Floor Heated EH BId App Review: �2_
2nd Floor Heated ,' Consistency Review: i
Other Heated . Base fee: 5142.15 e --r. --i
-Mezzanine
Additional Section: - /! /
Heated Basement Plan Check fee:' at l (.0 70
Unheated Basement • State Surcharge fee: '
Other Unheated Pot Water Review fee: NO (,I rilk
1520.91
SUBTOTAL I� �
Garage/Carport
'`� h : 911/Rd Approach fee:
• OVA t : -
Decks � Chi 20 vio._ _ _
Other TOTAL: $ l b4
, . Receipt Number:
_ ! ''''':/*1 S1 Cash/Check Number:
1;133
ESTIMATED COST(REQUIRED) Date: 1
.Fair arket value of all labor and materials foundation to finish
Initials:
SS-1t'f0C7 z_ .
r.\permiteenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
LEGEND
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SIDE TYP. S SMOKE DETECTC'2 - HARDWIRED WI BA i 1 tKY BACKUP
GED SHEAR WALLS - SEE SHEAR WALL PLAN (WT. E1.0)
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SEE FDN. PLAN FOR SWEAR WALL HOLD-DOWNS
MAKEUP A R VENT
IDOW CALLOUT Q DOOR CALLOUT —0°
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