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BLD2001-00071
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 #: BLD01-00071 Received Date 02/5/2001 SITE ADDRESS: 183 RANDOLPH ST Issue Date 02/16/2001 PORT HADLOCK, 98339 Expiration Date 02/16/2002 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: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION 128 square foot deck REQUIRED INSPECTIONS: [ ] etba IsMShoreline Setbacks): 6 2. - ...4 b - ( [9-- Footings: /T 42 --92 1- ( Foundation: O.--- ` J [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ umbing:C/C CeXC.6-P7' c.01,71 Irew iC4 5/6/0/ [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ a ccupancy Approva . L' / Z,dfd/ .' / HEALTH DEPARTMENT APPROVAL REQUIRED •RIOR 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 INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE BLD01-00071 1.) Minimum setback from Curtiss and Randolph Streets is 20 feet. Minimum side yard setbacks are 5 feet. 2.) The building height is not to exceed 35 feet. 3.) Maximum impervious lot coverage shall not to exceed 25%. 4.) The proposed 128 square foot deck has been reviewed for consistency under the UDC. The proposal has been approved per signed and dated plot plan. Any revisions, modifications, or additions to approved site plan are subject to re-review for consistency. • • i:W_BLD_Permit_Buildng.rpt 10/29/19 r O Jnfforsofl County Department of Caraway Iovoloone t �w4S N °� 621 Sheridan Street,Port Townsend WA 88368(380131�dd50 4 . t t o 1S ppc © � FI7Y Project Description: 1 Building Typc ' Pr ect Type: j Frame Type: Single Family New 1,11 Wood 0 Garage Attachen/Derst4w - = Addition I = Steel = Modular : Alteration/Remodel : Concrete = Commercial = Repair = Masonry Multi-family/,#of Units a = Demolition = Other: -__IiIn ustnal .. Bedrooms: : • ' Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing 'Existing = Sewer 13Community System U Electricity = Oil Proposed Proposed: = Individual System : Woodstove Propane Total: • Total: — If not sewer,fill out the following: = Heat Pump = Conventional : Alternative = Other Permit# SEP Water Supply: = Private well : Two Party Well 2.< Public:Name of water system: . Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee i#y Q S 3rd Floor Plan Check fee �cZ + ii(O Htd Basement State Surcharge fee �� 0 Unhtd Basement Subtotal boo. Q( Garage/Carport Pot Water Review fee -_ Decks 911/Rd Approach fee 0 Commercial TOTAL &( i Industrial Receipt # n3 7 `-�' 0 ot.ier _ .. ras.,lCheck # S �/ —— — -- -rota: aluation: _ I'Initials X _. Or Date ATO a. Estimated Cost: 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 cs true and correct to the best of their knowledge. Any material t,lkPhooa or a:.v omics on of a material fact made by the applicant/owner with tojrtct 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 aec^.:e 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 Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later mscec icn s. Access and right of entry to the applicants property or shall be request and shall occur during regular business hours. ---7 Signature �� Date: ,'X ' sa/ . * BUILDING PERMIT'APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00071 Received Date: 2/5/2001 SITE ADDRESS: 183 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: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 1,280.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 128 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: 7 © PX-6 F&W - Landslide Shoreline Agyifer Forest: Comm-rci Type By: I'rRecei�pt: - A .r _. ! - e >� �, T e Amount Paid Date: Permit $44.85 MAM 02/05/01 37340 Plan Check $13.46 MAM 02/05/01 37340 MR R 15 2001 State Building Code $4.50 MAM 02/05/01 37340 JEFFERSONN���T�1;COUNTY Total: $62.81 SSIIGNATTU EOM�� �D L ENT IJ�JA`1�7 ������ 1 f i i ,wto4c Ps ."c P ', Au s , ) C° r r . • -,- ,,, '''' . v6 .://'\ ,________r PP .,/ • Ic_r>,. , ,(, 7,_________----7 -(1 t\it" ,,,,/ A i pi c:(7)---.), L.; ..,...__..._____ ____I:----- ---- l'''');(1'1 t - C-IgA o-- . . 4— rry 2, ,C! nr��L(��(� gP. 7ges¢ r*E: i G J _ tioiliE(g- 61 • is KYl I 100 1" — — — r ,,,,,juv., ;. ,, , ,---i . 1,5,„,,,, , \ ,_,,,?, , 9,,,, ,- -, . i D ,i " 1') .-.° , 11 . , „...,„ P ry -- 1-- R. �'' S, C opUCT S/fE PL�l d (LV 11'►i^�- - I XI 't/A)6) m.. 4- -7---- p ',) I , I I s 5'41 i . 0