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BLD2010-00367
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 #: BLD10-00367 SITE ADDRESS: 110 HAYDEN ST Issue Date: 03/8/2011 PORT HADLOCK, 98339 Final Date: 2/26/2014 APPLICANT: REBECCA J SCHURMAN PHONE: 360-385-9526 110 HAYDEN ST PORT HADLOCK WA 98339-9521 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 6 Lot: 1-2 PARCEL NUMBER: 986400601 Section: 2 Township: 29 N Range: 01 W PROJECT DESCRIPTION: ADDITION & REMODEL TO EXISTING SFR 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/26/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 2/27/2014 Jefferson County Building Dvsion Permit Numr: BLD10-00367 Applicant: SCHURMAN 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 -�IZ., I Minimum setback from Hayden Stree and Spruce Street rights-of-ways l shall be 3A feed M-inimum south and west propetry line setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 Foundation Footing 24 Footing Drains Foundation Stem Wall c. C/� yB Underground Plumbing ` �Y Under Floor Framing .( 4 )Ch'(a G J &Am, Straps(hold downs) fir, S� � 1Jtt-/3 l�� .1 D Ext. Shear Wall Nailing 7--)St—I -- Rough-in Plumbing g -/6 . C i C Framing c,0 ,6t4: f C r5 ' 2 t' .1;/ - 424 di fr5� Blocking L `'vy e-ce4. Airseal ' _ ` , f ,q6 Insulation:Walls q1'_ 7- C t 645 Insulation: Floors s Insulation:Ceiling Int. Shear Wall Nailing 9 , ( ( Wallboard Nailing /f/ // �, Gas Line: Interior / ( 'l t Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 1 l� Address Posted 2--Y, ` t FINAL INSPECTION Q _4 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1 • • CONDITIONS for Building Permit# :BLD10-00367 1.) THE FOLLOWING MINIMUM LENGTHS (LINEAR FEET) PER 1,000 SQUARE FEET OF ROOF AREA BASED ON SOIL TYPE MAY BE USED FOR SIZING DOWNSPOUT INFILTRATION TRENCHES: COARSE SANDS AND COBBLES 20 LF MEDIUM SAND 30 LF FINE SAND, LOAMY SAND 75 LF SANDY LOAM 125 LF LOAM 190 LF MAXIMUM LENGTH OF TRENCH MUST NOT EXCEED 100 FEET FROM THE INLET SUMP. MINIMUM SPACING BETWEEN TRENCH CENTERLINES MUST BE 6 FEET. FILTER FABRIC MUST BE PLACED OVER THE DRAIN ROCK PRIOR TO BACKFILLING. A VEGETATED FLOWPATH OF AT LEAST 25 FEET IN LENGTH MUST BE MAINTAINED BETWEEN THE OUTLET OF THE TRENCH AND ANY PROPERTY LINE, STRUCTURE, STREAM,WETLAND, OR IMPERVIOUS SURFACE. A SETBACK OF AT LEAST 5 FEET SHOULD BE MAINTAINED BETWEEN ANY EDGE OF THE TRENCH AND ANY STRUCTURE OR PROPERTY LINE. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. 2.) 3.) 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. 4.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) Maximum lot coverage is not to ed 25%. Lot coverage is defined as amollf impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Minimum setback from Hayden Stree and Spruce Street rights-of-ways shall be 20 feet. Minimum south and west propetry line setbacks shall be 5 feet. 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.) 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. • • 4� O� JEFFERSON COUNTY W ONL, O, DEPARTMENT OF COMMUNITY DEVELOPMENT h ' ''4 621 Sheridan Street • Port Townsend •Washington 98368 OCT 2 0 LO i0 4. $ 360/379-4450 • 360/379-4451 Fax .16 G www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: IC —`- 41 Project Dgscription(include separate sheets as necessary): 7D\710kt -t 2 -'li/ 1i'4 1 -Y..- t- LeMJj Tax Parcel Number: - (ge, Aoc, &,© ' Property Size: t \ , O F (acres/square feet) Site Address and/or Directions to Property: 0 P6 . 1 -% Property Owner(s)of Record: V RM 1 Telephone: "*0 0 Fax: t*--411% email: Mailing Address: 1 \t �*~`t Applicant/Agent(if different from owner): ...)A•M iev r -.I A Telephone: Fax: email:-3►^v4?t7 s iC'•04' t((ln Mailing Address: AOq What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Building El Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) E]Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cl** ❑ Manufactured Home .❑ Modular - - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑ Home Business 0 Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** ❑Sign -. ❑Planned Rural Residential Development(PRRD)/Amendments** . El Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management El Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑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: ) . P SIGNATION OF AGENT I hereby designate J sIn/ y.1✓ M rsO \J�)v-.1. to act as my agent in matters relating to thi appli tion for permit(s). OWNER SIGNATURE / `" " (10/ �� fj Date: (/A �T By signing this app' tion form,the ovyfi9i/agent attests that the information provided herein,and in any attachme ts,is t ue and correct to the best of his,her or its knowledge. Any materiat 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 provider.access and r ht o ntry to Jefferson County and its employees,representatives or agents for he sole urpose of application review and any required later inspe n . Staff access and right of entry will be assumed unless the applicant info s the C my in writing at the time of the appli ' ri, a 9r sh w nts p f n Signature: / Date: 01, 7,,) /io7i2 The action or actions Applica will undertake as a result of the issuance of this permit may negatively impact upon/one or ore threatened or endangered species and Could lead to a potential"take"of an endangered species as those terms are defined in the teder l 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 endan ered sp ies regarding your action(s)even if yoy'ar in complian with—Kg efferson County development code.The Applicant acknowledges that e,she o it holds individual and non-transfer a sponsibility f r ad co I in , �/' ,�° ,�� gy g yvit/h/the JESA. The Applicant has read this disc) i sig sand d�jtes it below. Signature: ri l f {sr G` / Nil i/�'! - Date: �(/ iJ / l • III BUILDER STATEMENT The signer of this sta ment does heteby ify at they are the Owners of the parcel refere ced h ein,that they are not licensed contractors and that they will be as i the responsi dit f th neral ntractor for the/proposed pro' ct. �/' �J i \ Signature: ! Date: U (/ GENERAL ONTRACTOIi0. ACTURED HOME INSTALLER: PHO : FAX: • i`y r•\ ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE _ ...__________,,sr AINS NUMBER: .. NUMBE ` ARCHITECT/ENGINEER: , 1 l'~ L� PHONE (NO .J 3 "?2 FAX:( ) 'E MAILING ADDRESS: ! EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New *Wood Existing: 6. ❑ Sewer X Addition 0 Steel Proposed: an ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: _ Height: ')<Individual System X. Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Ty ft ofCeriG Proposed: _ * Public ; Total: Name of System: (ALtht) If this is a Commercial Project you must answer the following: . Numb f Park aces: Current: Proposed: Number of ADA Parking Spaces: Num of kdes owners,tens ,-employees,etc) Current Proposed • `'\ IBC T of construction: ` Will you have-Fc&IService?Yes T-No IBC O pan ' �� If this is a Propane Tank an ppliance Installationpermit mark all items below that apply: i Undergr and ank i Above groundTank -Site of.Propane Tank: --T, 1 Het‘e ook stove 1 stove `1-Fireplace Insert 1 Hot Water Tank 1 Pellet Stove i Other Is thisapple nce ing 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. S.uare Foota a Current Pro•.sec ,,f• f., _ "r• _:k ,. a-- - Main Floor Heated 3 Q ,, , EH Bld App Review: 15— 2 Floor Heated ? i^ I �_ ,i - Consistency Review: I S� 3 . {1 Base fee: �1 Other Heated / _cl �l .� Mezzanine Additional Section: Heated Basement Plan Check fee: LI c 29 Unheated Basement State Surcharge fee: 4 5 - - Pot Water Review fee: Other Unheated . CtSi I 044 Garage/Carport SUBTOTAL w _ i�33 ` s`tc: 911/Rd Approach fee: Decks LI, . .xl S Other t ,i. ;: ,' TOTAL: $1 33 . 1-1 Aar 1 �` 1i L s L. Receipt Number: ` 2-(3 2,13 *,gym,. ,,,,_ Cash/Check Number: ESTIMATED COST(REQUIRED)✓_ ^-^•C Date: •Fair market value of all labor and materials fou .-tan to finish ,-- _ S5 (T1r) _ Initials: , —) __ . 1 D ____\.: �N t 03 D 'a' 24'-0" / 8'-0" 51/2'/j, 7'-1" 51/2'// 8'-0" / / 2'-71/2" / 4'-2" 1'-21/2'/ / 5-9 1 • � - H Ir N m 5 1/2' I 23'-q„I I 5 1/2'�ti A 2-4 I I I X) I 3'-1/2" y \ co co L� -_ L = -°J \ � OF I, N I-- I— -1 c�9Gt Li n> ` I 11,9�0x, I r \ wC� 9 �i 1 i w 6.1 . 60 g ,cG I I I ,‹),FO CO _ . ,.E< 02 I � o at I I I I 4_2 /� - - - � °° 5 T @10"-� 3 L _ _ _IL _ _ _I 1- _ _ -Ir _ - -I ) I I I 1 1 � I PI2 I 11 I , I I I 1 I w 3 I (I) I o II - _ If 11111 4 ii ♦ ♦4. o W W D 0 6- n O m Tm ^m li O N.) '7, o m,. 0 6 cn CPJ , v o cn _ rn� w m I ♦ N _I -_ 'A' it T '-I 0 I _ 41 1 .A .:_,.....:____) _______,..-- k w I o - tO� !_ O 0 Ix I 1 o \ .1I a' .Na. 171E= Y)))[17 I 1 --)Ir"-- ( — .1 - Cillis 1 m b 1 o o V" Z _ 0i a o I Z v. T________..1 a I ri:: (0 N I Is 1 V . 6% co \ \ V z s: G 0 > i , 0. .... r = 31/2",� 9'-11/2" 4" 13.-10" 31/2" N fl mil> D Z r O O --1�j -i _. N / 3'-0 1/2" / 2'-4" / 11'-101/4" / 3'-8 1/2" / 2'-0 3/4" / 24'-0" / / CCDO D a 'N A _ .D_ i I I I I I I I \ . ....,__. 1, r- 1 , . , _ _ _ _ 4 1 It — — — go r'2.0 - .,, C .D---—__________. U.. W.- , se a I ' —. rawirommagerzoll .V: *' 11411* 4 - „I..., r.: ■stet - 4 4 II!IL . : 4: • 1— o : .,13 © .4.4 111 44 P 1 ` — o .G' 1 it Ahl 0 1 < , , a t , wili sz ii I , iii, I li 1 - I9-- H H i.,--L. • 4 I IO I0 moo I _, - � JH1Ri (-1.. '8 • ql 1 --i 4 I I► .ri;mmommi --4 ---4 1 I (f) I___________ rill , Z , ' II, i 4 ® II I T, . , a -4`' r; �14 1 1 tura I — _ — — ��� r ALIPN I =..............,- I I — _ — - �i I i -O I I I ► I I I I I �� 4 . ce; .___H .', co. v , 1 1 pp ..__I f i I I I I - 4 \�� �..; 4 --- _._4\ c_j4 • - `_ : 11 z I I � �` �� I I -1 I I 4 -. �. ' I I NI I O _; © .i *dig _ - _ — III I II I — — — — o ° co 4'-0" 03 > Nz JAMES M. ROZANSKI MA PORT HADLOCK RETREAT ARCHITECT 1940 49TH 36(8 REGISTEF v) PORT TOWNSEND WA. � ARCHITE 110 HAYDEN ST. Z 98368 VOICE ]60.379.5232 PRT HADLOCK, WA Q +� . Razes O # SUM If W INGT 0 � C ii • 24'-0" \ \ r. 0 I 0e T J \-.-- 3.....4 • •2I WI, ii IK\i„...„...........:_____r ________.r.._ .3 . . ii Mil P ‘ror 2. 0 . 0n 41 �JJ 'C''- w J 1 N O E. t-r"- '.c, i w 44. c 1V` $ E - ' -. 11 ,<, V ):2" i I -_.. „-. il ,_ „ � v W.♦ \ \( ,,A/ ______2 P .401 •CI Q 0 0 0 Contact ::.' Q APPROVED AS SUBMITTED * , 3 10,30 AS NOTED 6,404 ,.._ , �3t3�)j ,, ;:, ,, ;. 13 .010.11S t O tt;l'ci REJECTED -m Date e�- -/ >zG ...6, Fri `y� u 1 tb 1144 �'l viewer i� a�I) C7 O a.,,,, , HAYDEN ST. ,... .c,,p6 c_. e. * ' ., ._._._____.__.__--_p6- C' t „L. 11 .777.--12-----.. im IT __ __ 9-0, • cY, i INFILTRATION TRENCH PARKING 1l. Ql (SEE 3/A-100) PARKING lg. cn e e e e r- L L r) • i n�l� T—t-- •__ __ __I , STORM WAOTERF I (E)PORCH TO BE ' I I SETBACK REMOVED T TO INFILTRATION-� �- , , TRENCH I �i-j l l 11 I,I I Q Qr I I I • I ' S I IIIIII1II e \6, • Ilit : (N)DECK I ® • ; I I I ' • FOOTING DRAIN ^ iTO DAYLIGHT I I I I kIOI♦NNW (E) RE II■MIWNW,� , r•� , i k 111 �Ei/� I (E)DRAINFIELD I 'RESERVED AREA' ^ 1 I^ , I I e e to ... /„, ,. . „, . ii., ,a -)!1 I I , (E)SEPTIC TANKI ' ...ir 8' pI S ^ i (N)ADDITION '(3 -� 24'-0" . .. , . .i 1 ,,...„ I ,, , -n I - I I e 1 c.L.L.... Nil i I)F FOUNDATION INSPECTION I I I l�' Y LINES MUST BE MARKED BY 'G+tItol I INES TO VERIFY SETBACKS. , ( �J I RTY LINES ARE NOT MARKED A LOT 2 —.J :TION FEE MAY BE REQUIRED e, FURTHER INSPECTION. LOT 1 e >_ ACIS r B e (E) BARN t 5 0 SET„ 8-ReSF '( BACK , . ; o -- • t---- I e Q w U ��m NORTH 1/2 OF ALLEY ' o _----P - 50 \/ o o co r e 4111011116 'i REVISED SI ' P • .t�sya�;� '�rL��►' v" date -NII. gIlk \� l eqv v► '�� Has been APPROVED 7 'ikDEPT.OF ,O •'i,� i ►• :4 SIGNATU' :• iv; .i/�"i I Ali ail � w �� yee,�.y