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HomeMy WebLinkAboutBLD2000-00747 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 #: BLD00-00747 SITE ADDRESS: 183 RANDOLPH ST Issue Date: 12/11/2000 PORT HADLOCK, 98339 Final Date: 10/26/2001 APPLICANT: ELIZABETH J CORNETT PHONE: (360)379-9706 WAYNE E CORNETT 1031 FAIRMOUNT RD PORT TOWNSEND WA 983689746 SUBDIVISION: PORT HADLOCK Block: Lot: PARCEL NUMBER: 989400302 Section: 1 Township: 29 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/26/2001 \\tidemark\data\forms\F_BLD_Occupancy rpt 12/12/2012 . BUILDING PERMIT Development Jefferson County Department of Community 621 Sheridan Street Port Townsend,WA 98368 (360)379-4450 FAX(360)379-4451 (800) 831-2678 11/20/2000 Received Date 1211112000 BLD00-00747 Issue Date PERMIT #: 183 RANDOLPH ST Expiration Date 1211112001 SITE ADDRESS: PORT HADLOCK, 98339 PHONE (360)379-9706 APPLICANT: ELIZABETH J CORNETT WAYNE E CORNETT 1031 FAIRMOUNT RD PORT TOWNSEND WA 983689746 Lot: 2-4 00302 Section: Block: 3 PORT HADLOCK 1 Township: 29 N Range: 01 W SUBDIVISION: 9894 PARCEL NUMBER: PHONE: CONTRACTOR: OWNER LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: ! $. .- ootings/Setbacks (Shoreline Setbacks): c— � [�Foundation: [ 1 Underground Plumbing/Underground Insulation: f C Shear Wall: - T� S /4 ramin I lum C- �c'Tz � � � [ 1 Propane Tank/WV t 4 nsulatio �� 1 D '�� ��::ee roc � n� •ccupancy Approva. ;� W I ALTH DEPARTMENT APPROVAL RE UIRED PRIOR TO FINAL INSPECTION. HE IS PERMIT IS VALID FOR ONE YEAR OR IT MUST E PROPERLYCE TO RCHEDULE INSPECTIONS. ENEWED TH 379-4455. CALL 24 HOURS BUILDING INSPECTION HOT-LINE Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • ,SON c Jefferson County Department of Community DeVebmnent ;��� °��, ,4 21 Sheridan Street.Port Townsend WA 88388[3 1 l 370-4450 w o � :$ Prm : 0 a on �VG .jJf ��� Project Description: Building Type: Project Type: Frame Type: k Single Family ,X Garage Attached/Detached New Wood Addition E Steel Modular .. Alteration/Remodel E. Concrete Commercial I Repair i Masonry E. Multi-family/#of Units E. Demolition i Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: E Sewer Community Proposed: -d�-� Proposed: System C Electricity Oil Total: Total: IndiVldllal System Woodstove ,Propane If not sewer,fill out the following: LT Heat Pump Conventional Y Alternative / Other Permit# SEP Q i 0© d(®I Water Supply: l Private well E. Two Party WelX Public:Name of water system: /" l e: J Square Footage: For Office Use Only Main Floor /7/ 1 UBC OCCUPANCY GROUT f 2ND Floor g57 C C /��0 Base fee Og-ld ` 3rd Floor ���5° Plan Check fee 94, ,° Htd Basement State Surcharge fee U g Unhtd Basement 77 �/' Subtotal Z 7 , �� bL1 Garage/Carport � �� �/Pot Water Review fee � . 60 I i vv Decks ,- -.LOCO 911/Rd Approach lfee Commercial TOTAL t 3 l i -2� Industrial Receipt # . 1/k,itlie Other 01, 5 ���� Cash/Check# I g j Total Valuation: Initials /" Or �s ` Date I i /2—ey e) k, Estimated Cost: `) If within 200' of the Shoreline, f Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. Bysigning application the form,the applicant/owner attests that the information provided herein is true and cor,cu 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 access and right of entry to Jeffe n County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to th plicant's property or shall be req ed and shall occur during regular business hours. `�Signatur • —r , , �C Date: %' ac. BUILDING PERMIT APPLICATION Jefferson County Depa ment,of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00747 Received Date: 11/20/2000 SITE ADDRESS: �� 11$.1 RANDOLPH ST PORT HADLOCK, 98339 APPLICANT: ELIZABETH J CORNETT PHONE: (360)379-9706 WAYNE E CORNETT 1031 FAIRMOUNT RD PORT TOWNSEND WA 983689746 SUBDIVISION: PORT HADLOCK Block: 3 Lot: 2-4 PARCEL NUMBER: 989400302 Section: 1 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 98,460.00 MAIN: 1,173 CODE EDITION: 1997 ADD'L: 457 HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 624 SHORELINE: CONST TYPE: SETBACK: DECK: 200 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane Routing Date: ( F&W Landslide 11 I p 21P� Shoreline Aquifer I l Forest: Commercial Ruralon �t Type Amount Paid By: Date: �rRecei�pt: Approved/owe — ons Permit $986.75 MAM 11/20/00 34646 APPROVED Plan Check $296.03 MAM 11/20/00 34646 State Building Code $4.50 MAM 11/20/00 34646 / ' DEC 1 1 Potable Water Application $30.00 MAM 11/20/00 34646 �000 Total: $1,317.28 Jefferson County Planning & Building Department is\F_BLD_App_Bld.rpt 10/29/99 i I r k 19 I)6 c t \. _ r i C° . , to_ I. i(_, _/ ri\'V. cii: / \ c 1' . 1 . • Ps.)` , ,---- _ _______ . e-- — - li''\)6' -/A1('`), , cc-:),) , pc ] ., .,./ 0,, v, . ., , . _9', ..-- .. ..,,,;..,4 . ,.5., - ' _...---' ,,,,,,,.,,o , , __________________:___ , ••• 6/06,6 - .. . _. _______ . • , , -7.--' EX r '; 6� fo Ft gs- -' ffo 1 • AiDil 1 . • , HoirlECg- gfi 1 4 r- g . . i s 1i1 COntiE111 s%s / 4 - , .., fr _. .. 4--.;- f,c56-1)- m� 1')- ..,I sc 1 [ ,: . C• cTI - �oN Jefferson County Department of Community Development �4�c,`� , co H 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 &' , -.. ''4 1%-Nod© Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: d'immill..mr A2 u(). ' I 9 Digit Parcel Identcation Num (fr m your tax statement): I .. 4100 Site Address , ° 911#: j�/` (C/�f� �13—' Road Name: C e✓f.� %,�',� Sf Zip Code: Legal Description j �� Subdivision Name: , �j ✓'% Section: �* Townshi I Block: 1 Lot(s): L P: 1 Range: 0/u..) I / Parcel Size (acres or square footage): Property Owner: _-"rl df j j i9c7( / 1 Phone 79 q7 Mailing Address: Lam. . " ' 1 7 / rd4Xe/ii Applicant/Occupant: ,:: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: I Mailing Address: 6. i General Contractor: a Or Manufactured Home Installer: Phone: 1 Mailing Address: I Contractor's State License Number: Expiration Date: 1 Septic Designer: z- j4` `j 9j ) Phone: Mailing Address: �C��// `�' I a Architect:/Engineer: _ Phone: i [Mailing Address: Loan Lender/General I Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY I Fire District: Planning Area: School District: Zone: 1/00 H:\home\pinrntr\forms\universal plot plan bAOO - o OO BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00747 Received Date: 11/20/2000 SITE ADDRESS: 181 RANDOLPH ST PORT HADLOCK, 98339 APPLICANT: ELIZABETH J CORNETT WAYNE E CORNETT PHONE: (360)379-9706 1031 FAIRMOUNT RD PORT TOWNSEND WA 983689746 SUBDIVISION: PORT HADLOCK PARCEL NUMBER: 989400302 Section: 1 Township: 29 Block:N Range: 01 W Lot 2-4 CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 98,460.00 MAIN: 1,173 ADD'L: 457 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R_3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 624 SHORELINE: DECK: 200 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: CITY 1 BEDROOMS: BATHROOMS: PARCEL TAGS: Y NO X STORMWATER: ES NO AREA Exist: Exist: Wetland Prop: 2 Prop: 2 Seismic Erosion — Total: 2 Total: 2 FloodStreams Way Flood Plane D Routing Date: , t (ZI (1600 F&W t Landslide f '‘b Shoreline , Aquifer L. Forest: Commercial NO Rural Type PrQxlmrtv }Jlat Conditions Amount Paid By: Date: Receipt: Approvedivate Permit $986.75 MAM 11/20/00 34646 S Plan Check $296.03 MAM 11/20/00 34646 ' • r _ iiiift / State Building Code $4.50 MAM 11/20/00 34646 Potable Water Application $30.00 MAM 11/20/00 34646 Total: $1,317.28 / Cam' '''':''',,, '' '• i , 410, _ / .,:.t.-.7.,.- 4le* o i:\F_BLD_APP_Bld.rpt e� 10/29/99 //I 7 7 Jefferson County Department of Community Development November 27, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: ELIZABETH J CORNETT WAYNE E CORNETT 1031 FAIRMOUNT RD PORT TOWNSEND WA 983689746 Critical Area Review Case Number: CAR00-00501 Project Description: SFR Parcel Number: 989400302 S-T-R: 1-29N-01 W Site Address: 181 RANDOLPH ST PORT HADLOCK WA, 98339 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 Cri al Areas Ordinance. 1\\ V-A Iepartment of Community Development Staff c: File I:\F_CAR_Waiver Standrd.rpt 12/13/99 eAK- (- 0 , • JE}Fk RSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner ttlet-rut.-4-947NTelephone: 3 --4 70A 'lddresu,)Q a 1 i , ty}4, 983 3 2 4 n , .,,,xis 4� ,",P.-.,> 1"� �' :,,,tt -x'" y {.=:- k.- - '• ti ,..,,a-• ,�; k. 4' Site Location I -- . Co> @ Q-r Person Responsible for BMP Installation and Maintenance: `\V.-+-Un a , Qayk..4kstt, Address: Telephone: \\ 1. Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets, if more spaces is r Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spans, ballast, or crushed rock to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. \ k, kA-�3...—, c , Xi Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas, landslide or erosion hazard area, etc.). •,..o ,.p.,.,30. do-Y _, __ J _ - �� EROSION AND SEDIMENT CONTROL WORKSHEET tif Phase clearing so that only areas that are actively being worked are uncovered. [ J Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landsc aped to minimize eroSIOII. fYI Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. [ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. kJ Cover soil stockpiles with plastic sheeting and locate away from water bodies, reads, and property lines. N] Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. [ J Protect adjacent properties and water bodies from sediment deposition: [] Place straw or hay bales in ditches and drainage ways down slope from areas DOA of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Management Manual.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) Regularly inspect and maintain all BMPs especially after storms events. [J Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. te• Gt- - tyro .o 10 • • EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways, etc.) \A-a-ki A Q_, ,Cy_,-�"o 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate, dry well, infiltration trench, route runoff to existing drainage facilities, etc.). • G 45-o cam. r \A • 11 II EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify' your construction sequence. Describe the timing of all Iand disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. • • z.. 3 •l \f‘p The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoE I will notify the Permit Center for inspections as required. Ltcu.2 91 <DO Ua Signature of Owner/Agent Date 12 • +� E w 7 I L°?4°' C'= ..)... * -...,....r-s -- --,......, i ...,,, t • ,.,...,,,.......„ , i ..-...... Nc) ...: ,./ I ---\---- C----r-- , p - . 1 ......„„.., /-....,..;4:).......,„ -:,..4. 1 . . . c'N") •%`'-fi..4 Q2) t...3 1, --615i> , f ,,,, c.,.„ .i , 1 (..„"1.m......- .c.......1 . k . ,......,_, • 'i, _......... .. . i v g(it '1 tr ri ' ., ' i 1 112 n(9 1 . Cf tal Citt2' ii ' orperrrrgrrr.rtro.fjgwriro,...r.rurtrraiXt,orrrelOrrdr, . '"Or .14,7ireer-Marri4rior_Q-4 lb.,04 .05.44.1,trra,‘..4.ffi,t, ,44:1. 4it..-!4,.A9Z.3, ... ......,.. IS , . g• ' . . 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