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HomeMy WebLinkAboutBLD2010-00317 • • 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 Al Scalf, Building Official PERMIT #: BLD10-00317 SITE ADDRESS: 210 CONDON LN Issue Date: 09/7/2010 PORT LUDLOW, 98365 Final Date: 8/4/2011 APPLICANT: LEON D ABBOTT JR PHONE: 360-437-0223 VERBA E ABBOTT 210 CONDON LN PORT LUDLOW WA 98365-9649 SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 38 PARCEL NUMBER: 990400238 Section: 9 Township: 28 N Range: 01 E PROJECT DESCRIPTION: MOVE BATHROOM & REPLACE WITH LAUNDRY ROOM 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 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON8/4/2011 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Delon Permit Nun.: BLD10-00317 Applicant: ABBOTT JR 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 Underground Plumbing Rough-in Plumbing Pressure Test FINAL INSPECTION — FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD1 0-00317 Received Date: 9/1/2010 SITE ADDRESS: 210 CONDON LN Issue Date 9/7/2010 PORT LUDLOW, 98365 Expiration Date 9/7/2011 OWNER: LEON D ABBOTT JR PHONE: 360-437-0223 VERBA E ABBOTT 210 CONDON LN PORT LUDLOW WA 98365-9649 PORT LUDLOW NO 1 SUBDIVISION: Block: Lot: 38 PARCEL NUMBER: 990400238 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: MOVE BATHROOM & REPLACE WITH LAUNDRY ROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 5,000.00 ADD'L: HEAT TYPE EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY. R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $111.25 LYK 09/01/10 120021 Exist: 2 Exist: 2 Plan Check $72.31 LYK 09/01/10 120021 Prop: 0 Prop: 0 State Building Code $4.50 LYK 09/01/10 120021 Total: 2 Total: 2 Total: $188.06 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 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY ItUILDING PERMIT APPLICA•N B Review 0317 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00317 Received Date: 9/1/2010 SITE ADDRESS: 210 CONDON LN PORT LUDLOW, 98365 OWNER: LEON D ABBOTT JR PHONE: 360-437-0223 VERBA E ABBOTT 210 CONDON LN PORT LUDLOW WA 98365-9649 PORT LUDLOW NO 1 SUBDIVISION: Block: Lot: 38 PARCEL NUMBER: 990400238 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP MOVE BATHROOM & REPLACE WITH LAUNDRY ROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 5,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop________.Q.__ Total: 2 (,- Total: R utin Date: � +. Type Amount Paid By: Crate: Receipt: Approved/Date Permit $111.25 LYK 09/01/10 120021 APPROVED Plan Check $72.31 LYK 09/01/10 120021 State Building Code $4.50 LYK 09/01/10 120021 SEP 9 20101 Total: $188.06 Jefferson County Planning &Building Department �wiSON cO JEFFERSONCOUNTY • y ' DEPARTMENT OF COMMUNITY DEVELOPMENT e '4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �qs0$ www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: (\YQ f`l(A PE ! Project Description(include separate sheets as necessary): ,j RedIDA/thanp balkigO0Y4 ib Iauida Rorn • Sbge haibizof4 ID trasterbpdaoona• >>7stle (rouse Tax Parcel Number: qqP Da38 C, 1•k,)•q•,93 R4,12)E property Size: 0. O) 40 acriquare feet) Site Address and/or Directions to Property: a 1 D CoNom LAaa PI.Ludlow1 )4 q `5•R - kik8,4/ -P6P -e AIL Akr Property Owner(s)of Record: L5cw D. A 013Pir se ambi Jbr V 1 BA, E• Aaat rr Telephone:310• 1-137• DX23 Fax: 341).9.37•bAa3! email: bedinablk@Recrea gblications.com Mailing Address:A I D COA)1€N LA NA Pt. LVMDLO. wq (N345.9444? Applicant/Agent(if different from owner): WA Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached 0 Conditional Use[C(a), C(d),or Cj** 0 Manufactured Home .0 Modular El Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** Change of Use 0 Boundary Line Adjustment 0 Address ❑ Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** El Stormwater Management 0 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 ❑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: ONE ESIGNATION OF AGENT I hereby designate �'� � to act as my agent in matters relating to this application for permit(s). E �C� 1)7� OWNER SIGNATUR �� � 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 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 ri t of entry to fferson County and its employees, representatives or agents for the sole purpose of application review and any requir later inspect' n S ff a s right of entry will be assumed unless the applicant informs the County in writing at the time of the applica the or sh wa is i ce. Signature: 7 Date: 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 issue yvill 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 in oomph nce i, e Je33:rson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfel onsibi i /ngZ I. complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: `f� Date: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this statement d es hereby rt• that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that eral Contractor for the pro••sed project. they will be assuming the re pops jll t Q ?b Signature: �.1 r, 'NAL 2 Dip-f / �7 CC�i PFIONE: Fes' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: ( ) ( ) EMAIL: MAILING ADDRESS: WAINS CONTRACTOR'S LICENSE NUMBER ` • , , , NUMBER: � � FAX: ) _ , ( ) ARCHITECT/ENGINEER: PHONE( `, EMAIL MAILING ADDRESS: Shoreline: Type of Sewage Disposal: Project Type: Frame Type: Bathrooms: pewer ❑ New Wood- , . Existing: . Q Steel, Proposed: i Bank p Community System x❑ Addition • Total: 1__ t______ E11 Hel Individual System Alteration/Remodel ❑ Concrete �� SEP Permit# ❑ Repair ❑ Masonry Bedrgoms: /// Water Supply: ❑ Demolition ❑ Other Existing: Setback: ❑ Private well ❑ Two Party Proposed: %Public Type of Heat:�T � Total: Name of System: 0(,y f 'C. R If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Spaces: Current: Proposed: Number of Parking Pro oed Number of occupants(includes owners,tenants,employees,etc) Current Will you have Food Service? Yes / No IBC Occupancy: IBC Type of construction: r A If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i Other Is this a Hance 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. I Current Proposed ForOffice Use Onj Amount; Revision JcS Footage EH Bld App Review: Mainn Floor Heated CO Cadlei -�Floor Heated Consistency Review: Other Heated { Base fee: t l I 1 l a 5 Additional Section: __._r Heated Basement - (/ Mezzanine Plan Check fee: �1 .31 OS Unheated Basement State Surcharge fee: ‘3✓ Other Unheated Pot Water Review fee: /lc1 6 6L-� s — SUBTOTAL Garage/Carport 911/Rd Approach fee: Decks Other TOTAL: $ I SS , 0(0 Receipt Number: 1 2000 1 Cash/Check Number: I 0)Date: 3J 2 Q��..( . 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