HomeMy WebLinkAboutBLD2005-00034 •UILDING PERMIT APPLICA MLA05-00028
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00034 Received Date: 1/18/2005
SITE ADDRESS: 150 PLUTE RD
NORDLAND, 98358
OWNER: GRACE BOYD PHONE: 206-938-1561
7053 BEACH DR SW
SEATTLE WA 98136-2051
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021282011 Section: 28 Township: 30 N Range: 01 E
CONTRACTOR: ROWE CONSTRUCTION PHONE: 385-2073
6104 FLAGLER RD
NORDLAND WA 98358
Contractor's License ROWEC**074JQ Expires 4/18/2002
REPRESENTATIVE: JERRY ROWE PHONE: 206-938-1561
6104 FLAGLER RD
NORDLAND WA 98358
PROJECT DESCRIPTION NEW DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
ligil
VALUATION 51,649.00 ADD'L: Nece 4 576 HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE:u.rt j " 0 SHORELINE:
CONST TYPE: DECK: 20 SETBACK: 230
BANK HEIGHT: 40
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: 1 Seismic Streams
Total: Total: 1 Flood Way Floodplain
Routing Date: F&W Landslide
// 0/0SC8-----
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A PPTITIV E D
Permit $657.75 BAC 01/18/05 68895
Plan Check $427.54 BAC 01/18/05 68895
State Building Code $4.50 BAC 01/18/05 68895 APR 2 1 2005
Potable Water Application $53.00 BAC 01/18/05 68895 Jefferson County Planning
Total: $1,142.79 Building Department
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OWNER BUILDER STATEMENT •
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and;that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: `en Date: /0 '— 30 —O Lt
dnN 18 zone
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
n n
y J<..oc v--C. i�c�c.v e �`.
r r- ry ),.:.,itek-,1G"sv ( ) j ..)-`-.>1t_.%'7 ( )
MAILING ADDRESS: L'\D``t -1 L, c }.t' ,,- r`c uJ l"i-:.[1i r i•v{)EMAIL:
CONTRACTOR'S LICENSE 0WAINS
NUMBER: VC 0 Lk) Z. 0 7 L -7 ( NUMBER
ARCHITECT/ENGINEER: A4/a Al< r.214 0 e V c PHONE ( 0(c))76 5 8.y< AX:( )
MAILING ADDRESS: ,..a. 3 I ?I /c e.. S L EMAIL
-1.•\-LYz ► 1.L
Project Type: Frame Type: Bathrooms: 0 •,I;. Shoreline: Type of Sewage Disposal:
NI New 'Id Wood Existing: T-''' 0 Sewer
❑ Addition ❑ Steel Proposed: / Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: i! Height: ❑ Individual S tc.n),,,
O Repair 0 Masonry 17/0 SEP Permit# L.r'S'1-I
0 Demolition 0 Other: Bedrooms: - Water Supply:
Existing: t- Setback: % Private well ❑ Two Party
Type of Heat: Proposed: 0 Public
Total: f- , -- 0 Name of System:
If this is a Commercial Protect you must answer the following:
Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
0 Underground Tank 0 Above ground Tank Size of Propane Tank:
0 Heat Stove 0 Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being 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.
Square Footage For Office Use Only . 1b - 4� `S.
Curren Proposed U 1.
Main Floor J I j Consiste ReXjew: ''a=4' Pr' s '` �,•
2Nu Floor ' �' fee: Ada, tiy .sa;
T ) � . �a Ir s 1, z
3 Floor Additional Section: r 1 b h x
Mezzanine: Plan Check fee: ' t ,
.NSA,. 41
Heated Basement State Surcharge fee: - V '" ''r
Unheated Basement Pot Water Review fee: . t .� .,, :
tiz
Other Unheated 911/Rd Approach fee: br 4 "'
Garage/Carport }�''
4 k .:Y ,1 }rol, h,
TOTAL: $ �} -. ��q _
DeckS x� r. 1 uL
370 Ai fi.I Receipt Number 1lr ' A
Other Cash/Check Number: " ,,
h . y Y 5 kF ''
ESTIMATED COST(REQUIRED) ( 41 Date: '�°'�� 2
*Fair market value of all labor and materials fou +r
,1 ) 0&(J Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00034 Received Date 01/18/2005
SITE ADDRESS: 150 PLUTE RD Issue Date 04/21/2005
NORDLAND, 98358
APPLICANT: GRACE BOYD' PHONE: 206-938-1561
7053 BEACH DR SW
SEATTLE WA 98136-2051
SUBDIVISION: Block: Lot: T14+
PARCEL NUMBER: 021282011 Section: 28 Township: 30 N Range: 01 E
CONTRACTOR: ROWE CONSTRUCTION PHONE: 385-2073
6104 FLAGLER RD .
' NORDLAND WA 98358
• Contractor's License: ROWEC**074JQ Expires: 4/18/2007
PROJECT DESCRIPTION: NEW DETACHED GARAGE
CALL IN FOR TH EQUI D INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS Dom'
UFFER. 5 /
Footing: Si rb-s—
Foundation. ://9%/ i'• -''
111 ,
Stormwater FINAL Approval: 6/0/fi?f
Underground Plumbing: oK 6 f/cf /%f'Y"
Underground Insulation:
Shear Wall : oA' ri3/a5
Sheathing: ;�
Framing: C- I�l-� Pe.YL (s(L42ft- c`Z'1-05 F''I
Plumbing: OK 0105 ill
Propane T k/ Lines:
Insulation: /8'L4-roe-'
Sheetrock: '✓
Septic Sytem Final Approval (If not on sewer):; k k rvvl ci 0 ( ,6
Road Approach Final Approval: f
Zoning Final Approval: •
Final/Occupancy Approval: Ok ger V,;w I Vag).*HEALTH DEPARTMENT AND PUBLIC WORKS APPROV EQUIRED 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 INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE REVERSE
1110
SPECIAL CONDITIONS FOR CASE # BLD05-00034
1.) This structure shall not be utilized as an Accessory Dwelling Unit unless it is reviewed and
approved by Jefferson County Department of Community Development and
Environmental Health.
2.) The project shall adhere to the Best Management Practices (BMPs) 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.
3.) A Stormwater Plan has been submitted and approved by the Department of Community
Development. Once the subject permit has been issued the applicant shall fully
implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed. .
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) The seytback from Plute Road is 20 feet from the edge of the right-of-way. The side
setbacks are 5 feet from property line. The rear setback is 60 feet from the edge of the
shoreline bluff and is based on the height of the bluff.
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I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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