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HomeMy WebLinkAboutBLD2003-00641 BUILDING PERMIT I Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00641 Received Date 10/10/2003 SITE ADDRESS: 170 E MAUDE ST Issue Date 10/30/2003 PORT HADLOCK, 98339 APPLICANT: DONALD E LIPPERT PHONE: (206) 363-7865 MARSHA E LIPPERT 19016 15TH AVE NE SHORELINE WA 98155-2354 SUBDIVISION: IRONDALE Block: Lot: PARCEL NUMBER: 961801306 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: ISLAND HAMMER LLC PHONE: (360) 697-9434 PO BOX 2435 POULSBO WA 98370 Contractor's License: ISLANHL015R9 Expires: 12/29/2003 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NO MLA REQ -RESIDENTIAL FIRE DAMAGE REPAIR REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: to t.0,11)� \-9-0y I 1 Plumbing: [ ] Propane T, nk/ Lines: [ ] Insulation: — I Sheetroc • aQ [ ] Septic S em Final Approval: [1] Zoning Final Approval: Final/Occupancy Approval. &moo' 'O f HEALT Fp EPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PE-MIT 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. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE REVERSE • • SPECIAL CONDITIONS FOR CASE # BLD03-00641 1.) THIS PERMIT IS BEING APPROVED AND ISSUED WITH THE UNDERSTANDING THAT THE CURRENT ENERGY CODE REQUIREMENTS WILL BE AS CLOSELY MET AS FEASIBLY POSSIBLE WITH THE CURRENT PHYSICAL CONDITIONS OF THE EXISTING STRUCTURAL MEMBERS. 2.) ALL LIFE SAFETY CODE REQUIREMENTS OF THE 1997 UBC MUST BE MET WITHIN THE SCOPE OF ALL REPAIR WORK INDICATED ON THE APPROVED PLANS. 3.) PRIOR TO THE FINAL BUILDING INSPECTION A DECLARATION OF RESTRICTIVE COVENANT MUST BE RECORDED AT THE JEFFERSON COUNTY AUDITOR'S OFFICE COMBINING BLOCK 13, LOTS 11-16 (PARCELS 961-801-306 AND 961-801-307). I:\F_BLD_Permit_Buildng.rpt 10/29/19 . ..j •II 0*:Ar)CI Y TOL: -:::, , .7...111111. — ate ,, ... Vv•4 t 1111 ail I i .1‘AVA 6 ve 1 trO a 00 a. (/) • a) LIJ 5 Ci 0 z - >. < D a 0 N „ --11,, ;- o. C.) ,g .; ;... Ci....•fC . AlA 0 2 0 ' ''"'"'"'"1 il ;-,- c I I ',• re c•ft) — 4 < a I--.2. II D'" , .., / tg c4 _J 2 0 < 0 t C to f) tt. :ig— 1 i q_ i ima 1 ...1,, 4 ,.. .. ,1p 144 f 04it f 6 — ..- . 0 Je ..... 0 § . " C ' C•1 g — i \. ...., asAttkZ -7 .ct .1, C,t.... " .....- in ..c a Ilit a" :g• 2 tt 1 0 5 > ,--- 2 et , g E .,_'--- ,-1 - „a_ ...1 -. _ . ..s. *it- i. 14 EP g •- ,- 1:7) (1 ..') 7 •.... — -.... g S. 0,,h• = ,47.c)1/49g 4 8 cce'f-ic-773 itt co az o`A'.--i *4 o vl 0.0 I - 0....0.o.J..t.. 0.4 t, o ea a -o esI c — , 9 0 en . 0 0 e,4 BLD03-00641 ',BUILDING PERMIT APPLIC `ON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00641 Received Date: 10/10/2003 SITE ADDRESS: 170 E MAUDE ST PORT HADLOCK, 98339 OWNER: DONALD E LIPPERT PHONE: (206) 363-7865 MARSHA E LIPPERT 19016 15TH AVE NE SHORELINE WA 98155-2354 SUBDIVISION: IRONDALE Block: Lot: PARCEL NUMBER: 961801306 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: ISLAND HAMMER LLC PHONE: (360) 697-9434 PO BOX 2435 POULSBO WA 98370 Contractor's License ISLANHL015R9 Expires 12/29/2003 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NO MLA REQ - RESIDENTIAL FIRE DAMAGE REPAIR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 30,523.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 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: OSS WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 1 Total: 1 Flood Way Floodplain Routing Date: F&W Landslide JO — 1 3 - 03 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: A a ra l Permit $451.85 KAS 10/10/03 60235 °° ` Plan Check $293.70 KAS 10/10/03 60235 0Ct 3 0 2003 State Building Code $4.50 KAS 10/10/03 60235 Potable Water Application $51.00 KAS 10/10/03 60235 Jefferson County Planning & ilding Department Total: $801.05 , , s gsoz�I co 0 Jefferson Ioll4partnumt of commuNty nt i� 621 Meriden Street, 't To WA 88388(360)318-4450 4.. , "z' ,tea P©rmt A .r c.a � � � 0 0 ! 3 '1. Project Description: BJilding Type: Project Type: Frame Type: ',A Single Family ❑ New Wood ❑ Garage Attached/Detached 0 Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • ❑ Commercial A Repair ❑ Masonry ❑ Multi-family/#of Units Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. I Existing. / ❑ Sewer ❑ Community System Dv Electricity ❑ Oil Proposed: Proposed: $ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP ! -{-i'6 Water Supply: ` + . 1 ❑ Private well ❑ Two Party Well❑ Public:Name of water system: 11.t. )1 Le. \if s I kt\ I�1 'j . I ,{1 F. @ I Square Footage: For Office Use Only Main Floor - Consistency Review -47"700- 2ND Floor \.l Base fee ' 5I , I25 3rd Floor 1 , \--) Plan Check fee—65% a c9 3. [0 Htd Basement )..I F1 State Surcharge fee I< 5 o Unhtd Basement P PI Subtotal )O. a B Garage/Carport 0 Pot Water Review fee O O, Decks N t-) 911/Rd Approach fee 6:9— Commercial TOTAL 83 °V-_ -__ -f--.7 Industrial Receipt# (QQ a 35 Other \ »ate l l N l-. Cash/Check# SI ga Total Valuation: Initials U Or Q Date 70 /0 a003 Estimated Cost: C 2 2 (> �. 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 c.ounty 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 m consequence of thg granting of this permit I further agree to provite >d access a rght of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of en to the applicant'p or stru e shall be requested and shall occur during regular business hours. i Signatures:'y "7-` f . . CL Date: t 0/ /6.3 ( Q ' 10' H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 6th Ave • a $ A y fai fa (7) 55 Ell C) C=S1 k--Ut—110 i I_ _ q �� re. tb R 1et- C, e° n fi 1 �� I u �.,j ``0 U h C 0 Driveway — 0 -:-.--) . A: . :44-- ••• •••••.••••••••••••••••••••••••••••• 12. a -� 1- I. D. 0 i7; 9 4__________ .,_ ,/, 0 5 ' J 1,,,\ ----Y,` 1 , Lt� ( 1 S! -VI iA (4 tv t _ ' fr1;:;) ' ____A' \, et 0 --r`' li- 6 5th Ave... ..._ . Y r" o 3,, I oN -- 4 dIFTA/4:4 JEFFEFIION COUNTY DEPARTMENT OF COMMUNITYDEVELOPMENT MEN 4,. 621 Sheridan Street•Port Townsend•Washington 98368 '� �,. 2O 360/379-4450.800/831-2678•360/379-4451 Fax t.�iN� www.co.jefferson.wa.us/commdevelopment No g LN- Master Land Use Permit Application Form PROPERTY INFORMATION _ Tax Parcel Number: El El 0 0 0 El CI 0 Subdivision Name: fLO aIC 13 Lot Number: /-OTS //-- 1I/ Property Size: (acres/square feet) Existing Use of Property: A£S I j)t 7i 7/k C, Site Address and/or Directions to Property: /70 6� /92#/teO E. _I- _2N/) (c , 6199 APPUCANT& OWNER/INFORMATION / c / Applicant(if applicable): rGs5 LA/V o ////Wfii/2C�- 7t �%) G- Telephone:,360) 6 9 " `�73 7" /Address: J 2 'Ai( ,%�t- )/ ( '. City: C�°l e/5,�O ate: _ Zip C de: Email Address l f 1 (C t 1C ��i Y Applicant's Signature: _/'>% '"•- f )tt C..l Property Owner(s)of Record: , .O.V9L0 L./p/df/?7 Telephone: ( �p� (0. 7ouiJ Address: /q 0 i ee /5-127/gG"4--' /(/ City: CA,(-,--)( / (/ State: l/_ /? Zip Code: ',)', /e z) Email Address I IY111�10 FC0101—II C I acknowledge that the a licant above is applying for a building permit on my property. 11OTrittoL . CCU) 11 Owner's Signatures i '.-''' E -0,-- -- I hereby designated- c (6.4-t f tT ))V). L .L 4 act as my agent in matters relating to this application for permit(s). _ )n V\ [ '‘ --__ ,ity) ,...)-- (PROPERTY OWNER SIGNATURE) (DATE) DESCRIPTION-OF PROPOS SE OR ACTMTY(include eparate sheets as necessary) f—Ci-C _ ram;,.-" pc--,.., k" [THIS SECTION FOR OFFICE USE ONLY] Refer to the specific sections of the UDC referenced below for more information and further requirements.An asterisk(*)indicates that a supplemental application or questionnaire may be required. Type I Permits Refer to: ❑ Septic Permit/Evaluation of Existing System(EES) UDC Section 6.4.1 and Chapter 8.15 JCC Q Building/Demolition Permit UDC Section 3.2.1 and Table 3-1 ❑ Allowed"Yes'Use Consistency Analysis UDC Section 3.2.1 and Table 3-1 ❑ Home Business Table 3-1 and UDC Section 4.20 ❑ Stormwater Management* UDC Section 6.7 ❑ Road Access* UDC Section 6.8 ❑ Boundary Line Adjustment* UDC Section 7.2 ❑ Minor PRRD Amendments UDC Section 3.6.13.15 ❑ Sign Permit* UDC Section 6.15 ❑ Site Plan Approval Advance Determination(SPAAD) UDC Section 8.7 ❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5 O Temporary Use(based on use may be Type II or Type III)* UDC Sections 4.38 and 4.39 (OVER) Type II Permits 410 Refer to: S O Discretionary"D"or Unnamed Use Classification UDC Sections 3.2.1,3.2.2 and Table 3-1 O Cottage Industry UDC Section 7.3 and Table 3-1 O Short Plat,Preliminary and Final* UDC Section 7.3 O Binding Site Plan* UDC Section 7.5 O Conditional(Administrative)"C(a)"Use UDC Table 3-1 and Section 8.8 O Conditional(Discretionary)"C(d)"Use UDC Table 3-1 and Section 8.8(Discretionary Permit Review Process Determined by Administrator) O Variance,Minor* UDC Section 8.9 O Wireless Telecommunication Ordinance 06-0712-99(UDC Appendix C) O Shoreline Substantial Development(Primary Use) UDC Section 5 ` O Forest Practices Act/Release of Six-Year Moratorium for Single- UDC Section 4.16.5(c) Family Residence O Appeal UDC Section 8.4.2 SEPA 8.10.12(b) Type Ill Permits ❑ Conditional"C"Use UDC Section 8.8 O Long Plat, Preliminary* UDC Section 7.4 O Planned Rural Residential Development Preliminary Approval UDC Section 3.6.13(must be in conjunction with an (PRRD)and Major Amendments* underlying land division application) ❑ Plat Vacation/Alteration UDC Section 7.1.3(d) ❑ Variance,Major* UDC Section 8.9 ❑ Reasonable Economic Use Variance* UDC Section 3.6.4(h) ❑ Wireless Telecommunication Ordinance 06-0712-99 UDC Appendix C ❑ Shoreline Management Substantial Development,Secondary Use* UDC Section 5 ` ❑ Shoreline Management Conditional Use* UDC Section 5 ❑ Shoreline Management Variance* UDC Section 5 ❑ Appeal UDC Section 8.4.3 SEPA 8.10.12(c) Tvpe IV Permits [ I., F ��: �.. ❑ Long Plat, Final UDC Section 7.4 i f= ❑ PRRD,Final UDC Section 3.6.13 '[- i ' [ OCT 10 2003 Type V Permits . L ❑ Special Use(Essential Public Facilities) UDC Section 3.3.5 ' o Jefferson County Comprehensive Plan/UDC/Land Use District Map UDC Section 9 L__' Amendment* -'-t 'cf. L.,. Cs' 'I ❑ Jefferson County Shoreline Master Program Amendment* UDC Section 5 ❑ Appeal of SEPA UDC Section 8.10.12(d) Other Local.State or Federal Permits ❑ Please identify any other local,state or federal permits required for this proposal,if known: ACKNOWLEDGEMENTS [PLEASE NOTE THAT TWO SIGNATURES ARE REQUIRED] By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property.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 Jefferson County and i employees,representatives or agents for the sole purpose of application review and any required later inspections. This right of entry s all expire when the County (through,the Administrator or the Administrator's representatives)goncludes the application has complied, pplicable laws and regulations.A and right of entry to the appl nt's propertyahell be requested and stall occur only dpring regular business hours. Jc 1. - ) PRO ER r (DATE) The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact pon 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 issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding you,action(s)even if you are i compliance with the Jeffetson County development code The Appli nt ackno ledges that he,(she or it olds individu I and non.t asferable responsibility for adhering to and complying with the ESA. The plicant read this disclaimer a sI a a )be ow., PROPERTY OWNER (DATE)