HomeMy WebLinkAboutBLD2000-00017 •
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 #: BLD00-00017
SITE ADDRESS: 601 MARTIN RD Issue Date: 01/31/2000
PORT TOWNSEND, 98368 Final Date: 1/3/2013
APPLICANT: PETER D HARRIS PHONE: (360)385-7504
LISA M HARRIS
PO BOX 885
PORT TOWNSEND WA 98368-0885
SUBDIVISION: Block: Lot: TX20
PARCEL NUMBER: 001291023 Section: 29 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes o
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 1/3/2013
\\tidemark\data\forms\F_B LD_Occu pancy.rpt 1/16/2013
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00017 Received Date: 1/7/2000
SITE ADDRESS: 461 MARTIN RD
PORT TOWNSEND, 98368
APPLICANT: PETER HARRIS PHONE: (360)385-7504
601 MARTIN RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001291023 Section: 29 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/ RICHARD BERG
ENGINEER :
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,085
VALUATION 113,900.00 ADD'L: 770 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: #OF STORIES: 2
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 1,221 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2WELL
STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: Seismic Streams
Prop: 3 Prop: 2 Flooding Landslide
Total: 3 Total: 2 F&W Plat Conditions
Shoreline _ Aquifer
Routing Date: Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,072.15 MAM 01/07/00 23110
Plan Check $321.65 MAM 01/07/00 23110 P ic ___L:) 7
State Building Code $4.50 MAM 01/07/00 23110
Potable Water Application $27.00 MAM 01/07/00 23110 J L QO
Total: $1,425.30
Jefferson County Planning
&Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
. 4 • r ,
�y�t3N Jefferson County Department of Community DeueIopmmmt
w i ` ° 621 Sheridan Street,Port Townsend WA 88368[360]319-4450
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Project Description:
Building Type: Project Type: Frame Type:
X Single Family X New X Wood
Garage Attached/Detached I Addition 1, Steel
Modular = Alteration/Remodel Concrete
I Commercial iii Repair 7 Masonry
Multi-family/#of Units Demolition Other:
Industrial
L1 Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 0 Existing: ® Li Sewer i Community System Li Electricity ❑ Oil
Proposed: Proposed: Z y stem Woodstove"(Individual S
Total: Total: Propane
If not sewer,fill out the following: i Heat Pump
I Conventional Alternative ii Other
Pemtit# SEP
Water Supply:
Private well ,9<Two Party Well I Public:Name of water system:
Square Footage: p For Office Use Only
Main Floor ® D 5. 5 9y-11 UBC OCCUPANCY GROUP
2ND Floor 7-7 0 y 2741 Base fee
3rd Floor Plan Check fee 3 21 S
Htd Basement State Surcharge fee 4, st'
Unhtd Basement Subtotal I 9 g 3°
Garage/Carport Pot Water Review fee 1-7 .
Decks 1 17�7,i l ZZl 911/Rd Approach fee
Commercial TOTAL I `i Z 5 36
Industrial Receipt # Z 3 k 1 C7
Other Cash/Check# OOS k
Total Valuation: I I 39 0b Initials
Or , Date I `- �
- c1..
Estimated Co d/ v oV
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft.
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner 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 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 agree to provide acc- • d right of try to Jefferson County and it's employees,representatives or agents for the purpose of applic 'on review and any required later inspections.
Access and right of ent:/y10..p ant petty or structure shall be requested and shall occur during regular business hours.
Signature: /,_ %(0 i' '-' f
Date: z---
21111r
• - •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD00-00017 Received Date 01/7/2000
SITE ADDRESS: 601 MARTIN RD Issue Date 01/31/2000
PORT TOWNSEND, 98368 Expiration Date 01/31/2001
APPLICANT: PETER HARRIS PHONE (360)385-7504
601 MARTIN RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001291023 Section: 29 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQUIRED INSPECTIONS:
[/-1----- Footings/Setbacks (Shoreline Setbacks): 6 /c - - c 3 . _ f ( % 6 E-
[-] Foundation: ?_ 0 0 CL fe,t l�
[ ] Underground��Pl1luu/mbing/Underground Insulation: 't� Li4. - -j >^Z - _• ,4.2
[ ] Shear WaIIS•e>K_ 3- ..s--2 J Qk
[ ] raming/Plumbing'/ 5-( 6v e-sQ j
["( Propane Tank/Lines: 5"We P'o< m-sus.¢, Z/607S 30 ,7;04 e097117C 7 zytia
['], Insulation: W14erce..»/I O+C 5 o?--be) cay„u
['] Sheetrock: OP e-r" Ft-oo,c. OK GoiA3 L oule‘ 0 S ,./C N0-r Dsr err riS
[ ] Final/Occupancy Approval: ,-_T/# 7 F l J i f Per Ce rr-e: 1-3-13
HEALTH DEPARTMENT 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 INSPECTIO'
Office Hours 9:00 a.m. -4:30 p.m.
Inspector's Phone Hours 8:00 a.m. - 9:00 a.m.
SPECIAL CONDITIONS MAY APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
• 0 BUILDING PERMIT APPLIITION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD00-00017 Received Date: 1/7/2000
SITE ADDRESS: 461 MARTIN RD
PORT TOWNSEND, 983687
APPLICANT: PETER HARRIS PHONE: (360)385-7504
601 MARTIN RD (.--
PORT TOWNSEND WA 98368 (",
ti•
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rl,
SUBDIVISION: Block: Lot: '\-
PARCEL NUMBER: 001291023 Section: 29 Township: 30 N Range: 01 W !�.
CONTRACTOR: OWNER PHONE:
CrWca ''_ s`a.
Review i 0 All )i—
ARCHITECT/ RICHARD BERG
ENGINEER :
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,085
VALUATION 113,900.00 ADD'L: 770 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 1,221 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2WELL
STORMWAT_F�R: YES NO AR
BEDROOMS: BATHROOMS: Wetland N 0 Erosion
Exist: Exist: Seismic L z, Streams co
Prop: 3 Prop: 2 Flooding v Landslide d
Total: 3 Total: 2 F&W o Plat Conditions ' f
Shoreline c., Aquifer ` r`< - /is >s,h./
Routing Date: Forest: Commercial 1 c7 Rural N�o /
Proximity R R ;S
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,072.15 MAM 01/07/00 23110
Plan Check $321.65 MAM 01/07/00 23110
State Building Code $4.50 MAM 01/07/00 23110
Potable Water Application $27.00 MAM 01/07/00 23110
Total: $1,425.30
immmimmimimmmI:\FBLD_App_Bld.rpt 10/29/99
Jefferson County Departri t of Community Development Ja0ary 11, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: PETER HARRIS
601 MARTIN RD
PORT TOWNSEND WA 98368
Critical Area Review Case Number: CAR00-00021
Project Description:
Parcel Number: 001291023 S-T-R: 29-30N-01W
Site Address: 601 MARTIN RD
PORT TOWNSEND WA, 98368
FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on
an identified critical area nor any associated buffers.
CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County
Ordinance 05-0509-94.
CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation,
additions or relocation of proposed development activities will require further review pursuant to
the Jefferson County Critical Areas Ordinance.
r
Department o` ommunity Development Staff
c: File
jE
I:1F_CAR_Waiver_Standrd.rpt 12/13/99
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�ou Jefferson County Permit Center * Department of Community Development
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rl� 621 Sheridan Street Port Townsend WA 98368[360]379-4d50
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Project Description:
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9 Digit Parcel Identification Number(from your tax statement): l 2,9 I 02 s
Site Address
911#: 6 C Road Name: l f lA '`4'%'0"\ ( 3 Zip Code: .,
+Legal Description
Subdivision Name: Block: Lot(s):
Section: rL9 Township: 3 0 N Range: t Utj
Parcel Size (acres or square footage): 5 k z.6
Property Owner: pc.)t er i Phonet" 60) 75,017,
Mailing Address: 60 4 �' r t'‘ To 3 e r c) �9€
Applicant/Occupant: Phone:
(if different from owner) ems^ ®
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: ' J S3 u, C), Phone:
Mailing Address:
Contractor's State License Number: Expiration Date:
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: } Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
FOR ON-ICE USE ONLY
Fire District: Planning Area: School District: Zone:
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