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HomeMy WebLinkAboutBLD2008-00180 ��S°N r0,G DEPARTMENT OF COMMUNITY DEVELOPMENT :� 621 Sheridan Street,Port Townsend,WA 98368 { Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment 9S y 1 N v.cO E-mail:dcdaco.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD08-00180 APPLICANT: KELLIE L RAGAN PHONE: 360-385-1543 40 STRAWBERRY LN NORDLAND WA 98358-9605 SITE ADDRESS: 40 STRAWBERRY LN Issue Date: 09/29/2008 NORDLAND, 98358 Final Date: 11/1/2018 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921043016 Section: 4 Township: 29 N Range: 1 E PROJECT DESCRIPTION: NO MLA REQUIRED REMODEL EXISTING HOUSE AND ADD BATHROOM THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/1/2018 Acting Building Official, Patty Charnas \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/15/2018 Je.forson County Building Alton Permit Num, BLD08-00180 Applicant: RAGAN BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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 3Cks. - Eesinn Control Pvundatiet+Feeting._ inting Drains - oarreatio rStem- all -trturgrourrd-Pmbin g g Ih ps-Oa-old-downs) g Rough-in Plumbing i0 XC Framing ) Z,Z_ � n r d96 NIL r 'fa �� l?� /Z/ 4,efil 17��'/r/,L Airseal /A/1 /06 41/ — — Insulation: Walls 011100 ✓V, / Insulation: Floors InsCaiion: Ceiling `J;?aiaoard Nailing (0 0(1 o Tank Address Posted (( `. I z-'214,01<- h I /I 6 w - rt. 1 FINAL INSPECTION — I I Ij J Ct , FINAL INSPECTION MUST BE APPROVED (PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR IIIIA IR LDING PERMIT APPLICA MLA08-00209 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00180 Received Date: 4/28/2008 SITE ADDRESS: 40 STRAWBERRY LN NORDLAND, 98358 OWNER: KELLIE L RAGAN PHONE: 360-385-1543 40 STRAWBERRY LN NORDLAND WA 98358-9605 SUBDIVISION: Block: Lot: TX 8+ PARCEL NUMBER: 921043016 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr REMODEL EXISTING HOUSE AND ADD BATHROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 104 VALUATION 45,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 145 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 0 Prop: 1 Total: 2 Total: 2 Routing Date: 4 2aLoe �c Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $593.25 KAS 04/28/08 97333 APPROVED Plan Check $385.61 KAS 04/28/08 97333 State Building Code $4.50 KAS 04/28/08 97333 Potable Water Application $59.00 KAS 04/28/08 97333 SEP i 2008 Total: $1,042.36 Jefferson County Planning & Building Department Cb (----* °N �, JEFFER OUNTY MO ` \q 4 DEPARTMENT OF COMMUNITY DEVELOPMENT '' `4 I 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 'qs, �p� www.co.jefferson.wa.us/commdevelopment HI Master Permit Application MLA: OS—c c ? Project Description(include separate sheets as necessary): RgPilIte—/ Maocc -r i c, 571kt/c-rvK >//a-DO ait7rl2ooPs - /A) Hou5E Tax Parcel /3 Property Number: `7 Z / O/3 0/F Size: y, No (acres/square feet) L 0 `t ie/wn.4._ lb atA-ditows7oAv£ •Site Address and/or Directions to Property: ;I—0.0 S,7P —J6 LA.) C7 o /.� E. yo 5,-RAw aL-2.c y 4-AvvF ,'J ,os-.e.*, /s? o s E- //Ja > Property Owner(s)of Record: -/t- RAm.c) I �'F / A Telephone: -2, (o U 32' - 'S'f 3 Fax: / email: Mailing Address:_yt� $At-a,.u6to,tie/ 4�./ pf1t1 Applicant/Agent(if different from owner): APR 2 8 2008 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 C]** ❑Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** L7 Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions*' ❑Stormwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *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 of 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 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 provi access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requi d later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli n that he or she w n prior notice. J�fe 4t(i byROV #e/et: p lea a-c—X Signature: .C/0.0 7& e_.0 T/LY Date: ZG O g The action or actions Applicant will unde ke 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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer responsibility for Bering to and complying with the ESA. The Applicant has read this disclaim r and igns and dates it below. Signature: DJ�J` _ _ Date: V 2.4 7o( C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc .- ee BUILDER STATEMENT ge The signer of this atement does her y certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu ing the responsipfli of the General Contractor for the proposed project. Signature: Tom- Date: ' /LG AY GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: X j, ''-Eve: - ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS APR 2 8 2008 NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New iK Wood Existing: t ❑ Sewer ❑ Addition ❑ Steel Proposed: —7— Bank ❑ Community System , . Alteration/Remodel ❑ Concrete Total: Z Height: kr Individual System ❑ Repair ❑ Masonry 9-5 i SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 2- Setback: d Private well Li Two Party Type of Heat: Proposed: o ❑ Public Total: 2-- Name of System: 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 C]Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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 EH BId App Review: /3/s- ti 1a1e. I; �►� .00 2nd Floor Heated �_ Consistency Review: g 151. C Other Heated Base fee: .a- -e- 5q .a5 Mezzanine Additional Section: Heated Basement g .. Plan Check fee: 5, Unheated Basement i s- © _ State Surcharge fee: 4. So --■ Other Unheated Pot Water Review fee: Garage/Carport _ SUBTOTAL Decks 911/Rd Approach fee: tWe1; 0 23a INY I Other cuoeaal (LH 3 00 • $ t 305 TOTAL: Receipt Number: 9133-5 Cash/Check Number: ��� ESTIMATED COST(REQUIRED) L0 a`�.g ,Date: (� •Fair market valu• • . ::pr and materials foundation to finish • I �b LIS,o�a --- Initials: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc =r l,om Wmi goPoSEO v � J IA 1 � u "Y q a 4D u r J A Li,1 E ND , t0use- Y6eD �o spa = i0y s4 F 7 CDVER�O 1�c.4 1�"54 Y7 $To2AC, F 0 U P31 Dr7 ZND rL-06A — �2C 54 OD150< = J q z STD r-7 SeKvr, wcaf^ I S TRAW 86'�R`1 1-a nJF �3'xzkl' �20PeSfo C jt)vfocd. -4 A Ok. 19 Td CWYAitj bK4014 Ex1s�r �r.1S �t":tt R-Fx In1 PK1�iT. �N THE SOUTH 150 FEET OF THE NORTH 370 FEET OF GOVERNMENT LOT 6, SECTION 4, TOWNSHIP 29 NORTH, RANGE 1 EAST, W.M.; EXOP.PT NESS TO FORT FLAGLER COUNTY ROAD RIGHT OF WAY (COUNTY RD. NO.4). iSOEXCJ�IS4FYS' PT THAT PORTION DESCRIBED AS FOLLOWS: - BEGINNING AT THE NORTHEAST CORNER OF THE SOUTH 150 FEET OF THE NORTH 370 FEET OF GOVERNMENT LOT 6; THENCE SOUTH 225'04" WEST ALONG THE EAST LINE THEREOF FOR A DISTANCE OF 22.00 FEET; THENCE NORTH 87"4834" WEST 194.41 FEET, THENCE NORTH 22504" EAST 22.00 FEET; THENCE SOUTH 87°4834" EAST 194.41 FEET TO THE POINT OF BEGINNING. TOGETHER WITH THAT PORTION OF GOVERNMENT LOT 6 DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF THE SOUTH 150 FEET OF M r THE NORTH 370 FEET OF GOVERNMENT LOT 6; I)THENCE NORTH 97°4S34" WEST ALONG THE NORTH LINE OF SAID SOUTH 150 FEET OF THE NORTH 370 FEET OF GOVERNMENT LOT 6 FOR A Z DISTANCE OF 656 FEET TO THE POINT OF BEGINNING,, THENCE CONTINUING ALONG SAID LINE 197.00 FEET TO THE EASTERLY LIMITS OF FLAGLER ROAD; THENCE NORTHEASTERLY ALONG A CURVE TO THE LEFT HAVING A U RADIAL BEARING OF NORTH 73.5233"WEST, A CENTRAL ANGLE OF 1°53'19", tu AND A RADIUS OF 685.00 FEET, FOR A DISTANCE OF n58 FEET; THENCE SOUTH 87'4834" EAST 191.92 FEET; N THENCE SOUTH 2-11`26" WEST 22.00 FEET TO THE PONT OF BEGn4MING Q, C41 TOGETHER WTTT3 ALL TIDELANDS OF THE SECOND CLASS LYING ABOVE THE LIIE OF MEAN LOW TIDE, SITUATE IN FRONT OF AND ADJACENT TO AND ABUTTING UPON THE ABOVE DESCRIBED REAL PROPERTY. SITUATE IN COUNTY OF JEFFERSON, STATE OF WASHINGTON. .SToKRYGiti.-PSLo4t' -3iTJ Fao«I E.ts� Fkop t w VQRti Lq °\,vo ILI 3gs-15y-") �3 h APR 2 8 2908 N3