HomeMy WebLinkAboutBLD2006-00380 • •
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379--4451 (800) 831-2678
PERMIT #: BLD06-00380
SITE ADDRESS: 420 E MOORE ST Issue Date: 08/18/2006
PORT HADLOCK, 98339 Final Date: 6/2/2008
APPLICANT: JAMES PEARSON PHONE: 360-385-5042
420 E MOORE ST
PORT HADLOCK WA 983399655
SUBDIVISION: IRONDALE Block: 32 Lot: 14+
PARCEL NUMBER: 961803207 Section: 35 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: RENOVATE EXISTING OUTBUILDING TO BRING TO CODE
(280 SQ FT HEATED SPACE & 200 SQ FT UNHEATED SPACE)
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes Go)
THE THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/2/2008
I:\F_BLD_Occu pancy.rpt 10/29/19
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00380 Received Date 07/10/2006
SITE ADDRESS: 420 E MOORE ST Issue Date 08/18/2006
PORT HADLOCK, 98339
APPLICANT: JAMES PEARSON PHONE:
420 E MOORE ST
PORT HADLOCK WA 983399655
SUBDIVISION: IRONDALE Block: 32 Lot: 14-18
PARCEL NUMBER: 961803207 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: RENOVATE EXISTING OUTBUILDING TO BRING TO CODE
(280 SQ FT HEATED SPACE & 200 SQ FT UNHEATED SPACE)
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: ' r [I -1 ) b`'
UFFER:
Footing: I
Foundation:
Stormwater FINAL Approval:
Underground Plumbing: 7k. '
Underground Insulation:, v
Shear Wall :
Sheathing:
Framing:
Plumbing:r ,Sigh )
Propane tank/Lines:
Insulation: "iL.--A6 --(L-r ALL. r?wc->r T 16 l' .4412.0,..4-. ' 5 Ji��a
Sheetrock:f'(EXe pr Dm'HRau i) dl�4/`f/7 1 I� 1�^K.� ID_r-4' 7
Septic SytemFinal Approval MUST be obtain/
before final of strut ure can be attempted.
Road Approach Final Approval:
Zoning Final Approval: f,
Final/ Occupancy Approval:'&,(0-L'O
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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
•UILDING PERMIT APPLICATON BLD06-003380
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00380 Received Date: 7/10/2006
SITE ADDRESS: 420 E MOORE ST
PORT HADLOCK, 98339
OWNER: JAMES PEARSON PHONE:
420 E MOORE ST
PORT HADLOCK WA 983399655
IRON DALE
SUBDIVISION: Block: 32 Lot: 14-18
PARCEL NUMBER: 961803207 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP RENOVATE EXISTING OUTBUILDING TO BRING TO CODE
(280 SQ FT HEATED SPACE & 200 SQ FT UNHEATED SPACE)
TYPE OF WORK GAR SQUARE FOOTAGE: i, /i Li 1 LL4i(j bciknt
TYPE OF IMP ALT 11
VALUATION 12,000.00 MAIN: tl
CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE kr M �(OCCUPANCY: HEAT BASE: HEAT TYPE: UH L!�n�� )s.
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER:
GARAGE: '-.LYE SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: --0'l
Total: 0 Total: 4I
Routing Date:
—1111 l0 _-
Type Amount Paid By: Date: Receipt: . Approved/Date:1
Permit $209.25 KAS 07/10/06 83712
2006
Plan Check $136.02 KAS 07/10/06 83712 AUG (a
State Building Code $4.50 KAS 07/10/06 83712 Jefferson County Planning
Total: $349.77 & Building Department
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4, O JEFFEFAN COUNTY
\ r} DEPARTMENT OF COMMUNITY DEVELOPMENT
'4 621 Sheridan Street • Port Townsend •Washington 98368 JUL 1 O
360/379-4450 • 360/379-4451 Fax
q�, N0�0 www.co.jefferson.wa.us/commdevelopment
2001
JEFFERSON COUNTY DCD
Master Permit Application MLA: l b mil 72,t() ID
Prot Description(include separate sheets as necessary): ,
Property
Tax Parcel Number: ��l eO3 — Zc.7 Size: �Z) .c---- ) (acres/square f
Site Address and/or Directions to Prope : 11ZCD ,i / / —Cy), �a7 7.--j% 7c,
Property Ow er(s)of Record: ' C.S ri,f)%i F 10.E
Telephone: C) _'S---S--0 ? _ Fax: — email:
Mailing Address: ZO , ez0-1_ '1--- 7 cc / 4 9r-- -f9 C•1- 6-i £ • C3.y
Applicant/Agent(if different from owner): U
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or CI"
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
garage Attached/Detached OrL/4 ,,' G ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home 0 Boundary Line Adjustment
0 Modular ❑ Short Plat**
0 Commercial* ❑ Binding Site Plan**
❑ Change of Use 0 Long Plat**
❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)/Amendment:
-❑ Propane 0 Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance
❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendmen
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference :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
his, her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
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 attomey'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 agr o provide a ss i t of entry to Jefferson County and its employees,representatives or agents for the sole purpose of applicati
review and ny uired later i pections. ss and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: 7// ?OC t0 Date:
The actioQn or act�ons Applicant will ndertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered-skies and could lead 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 pe
has be: iss ed will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your actic
even if y,u are in compliance w�irtfiee7eefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-
transfera• - re-•ons ility for g to and complyi g with the ESA. The Applicant has read this disclaimer and s" s /zo
ates it belt w.
Signature: _ 7 7Date:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
4
• •
BUILDER STATEMENT
The signer of t ' statement dos hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass g th respon bi' of the General Contractor for the proposed project.
Signature: \ Date: 7 l Zoo
GENERAL C TRA OR OR MANU CTURED 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 g Wood Existing:(4 * .1 0 Sewer
❑ Addition 0 Steel Proposed: Bank Height: ❑ Community System
Alteration/Remodel 0 Concrete Total: --- Individual System
❑ Repair ❑ Masonry SEP Permit#f t- ZZ1
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Pa
Typepf Heat: ' Proposed: O Public
XgC7iirC Total: CA- �plTe of st npOC_ _�
OV
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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove 0 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove ❑ 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 propel
lines, tank location and size,distances from the propane tank to all properly lines,buildings and septic system components
including the reserve area. y
, �5'j f' •--'-',' ;.L 4T. lr>.-':'�: A. 1!",-,T{t` ,,,is :- •'.i�eY tip .t.,. �,r�% px g :t iYi A rr'-,!7,-1, t ' I�.' 'C . : �
Square Footage Current Propoaed a• �� ri F!7' �� t i ..,�_; .. . .,�.. . �:A .t :�:�_
Main Floor Heated �' EH Bld App Review: _
2"0 Floor Heated ___, �_ 0., Consistency Review:
Other Heated r .,-* Base fee: (1
Mezzanine Few 4141 ' Additional Section:
_ 1�4Fz Mn
Heated Basement +JVLa�� �_ , . Plan Check fee: m
rI j
Unheated Basement p A + State Surcharge fee:
Other UnheatedJ�Ff f Ashs Pot Water Review fee:
Garage/Carport 0,10,4z47'l SUBTOTAL Z---/i2r0 /7/4C (-1 ;.,..14---4-4..4---..- -'&of,: 4 9.-77 Z I D 1
Decks f � .1,4Z 911/Rd Approach fee: I
Other 1 '. TOTAL: $ 1
VS t 3�q. ��
,. 55 J.
1a
�,,. ar-a� ,u Receipt Number:
RtY
Cash/Check Number:
4(o30
ESTIMATED COST(REQUIRED) Date: I �A,
.Fair m et value of all and materials foundation to-finish Oco
Z Q CO
Initials:
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