HomeMy WebLinkAboutBLD2005-00054 GILDING PERMIT APPLICASN NONE REQRD
ew Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00054 Received Date: 1/27/2005
SITE ADDRESS: 24 BLUEBERRY HILL RD
PORT LUDLOW, 98365
OWNER: JAMES M FOSTER PHONE: 360-437-0412
SHARON L FOSTER
24 BLUEBERRY HILL RD
PORT LUDLOW WA 983658765
SUBDIVISION: Block: Lot: 58
PARCEL NUMBER: 821334060 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NO MLA REQRD - FINISH UNFINISHED BEDRM#4 IN BASEMENT
NO CHG IN FOOTPRINT
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 1,410
VALUATION 4,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: 1,305 HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: SHORELINE:
GARAGE: 507
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 3 Exist: 3 Wetland _ Erosion
Prop: 1 Prop: Seismic Streams
Total: 4 Total: 3 Flood Way Floodplain
Routing Date: F&W Landslide
\\())\\ J \c C) c', Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: proved/Date
Permit $111.25 BAC 01/27/05 69144 APPROVE D
Plan Check $72.32 BAC 01/27/05 69144 �%
State Building Code $4.50 BAC 01/27/05 69144 FEB - 3 2005
Total: $188.07 Jefferson County Planning
& Building Department
A S fy pap
BUILDING PERMIT•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00054 Received Date 01/27/2005
SITE ADDRESS: 24 BLUEBERRY HILL RD Issue Date 02/3/2005
PORT LUDLOW, 98365
APPLICANT: JAMES M FOSTER PHONE: 360-437-0412
SHARON L FOSTER
24 BLUEBERRY HILL RD
PORT LUDLOW WA 983658755
SUBDIVISION: Block: Lot: 58
PARCEL NUMBER: 821334060 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NO MLA REQRD - FINISH UNFINISHED BEDRM #4 IN BASEMENT
NO CHG IN FOOTPRINT
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
X Framing: OK L)�Cenifle.rPf 3/3/t
Plumbing:
Propane Tank/ Lines:
Insulation:
X Sheetrock: dk 3fD,S
Septic Sytem Finaf Approva (I not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
)( Final/Occupancy Approval: O+C car- G fo 5/5/o5
HEALTH DEPARTMENT AND PUBLIC WORKS 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 INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
I:\F_BLD_Permit_Buildng.rpt 10/29/19
e.,3, 0N c06 JEFFERSO1WUNTY
` DEPARTMENT OF COMMUNITY DEVELOPMENT _ ''
621 Sheridan Street• Port Townsend •Washington 98368 l fl i`
• 360/379-4450 • 360/379-4451 Fax I
/ �O� www.co.jefferson.wa.us/commdevelopment JAN 2 � 2005
RING
Master Permit Application ; MLA:
Project Description(include separate sheets as necessary): ' I �Fjfi4rc%i
F#J/3 th' f,(ti1F�ii/5W �7EDlEeL )1i-J 46C6/A ?{�F?ie 5c:1T3fcGrkt,l_'9
Tax Parcel t .,/� �f-f Property �j�,�,
Number: Z f ' i 7 fCi S •
ize:��/`s"'X° /L�C, (acres/square feet)
� C NTF�L &.ff- wE/�j
Site Address and/or Directions to Property: %� c t l�l3G/ � er%�.E / , ���fj�
Property Owner(s)of Record: -TietafES . I=6/40S ed1/4)/C •�h fse�
Telephone:3t4--V-3 7-4%2._ Fax: email:
Mailing Address: Z , LI-1E/? y/f(' A, /1/C' -it, t:1/, WA yc36
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
0 Building ❑ Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]**
13'Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached 0 Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
O Modular ❑ Short Plat**
0 Commercial* ❑ Binding Site Plan**
El Change of Use ❑ Long Plat**
❑Address (1 Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **Requires a Pre-Application Conference _
Please identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate 'SC/g to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATUR /� �' ja/7)/( 47 ,/a' 1�- Date: /.. _1c.
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 attorney'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 its employees,representatives or agents for the sole purpose of application
review and a re uired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. /j /�/� �,� 956e/VL,
/ /
Signature: l41 if �"l �fuw/i(6;e- py4r- Date: / 2 4 .
r/
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon 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 your
action(s)eve if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non- ansfe e responsibilit'(/
adherin and co lying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature �- 4 Date: rr-Z�j— (r�5"
G:\PermitCcnter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• 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 ads ing the r n ' . of the General Contractor for the proposed project.
Signatur ,l/�� fJ <_- Date: g:13
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New H-Wood Existing: 'r CI Sewer
❑ Addition ❑ Steel Proposed: --- Bank ❑community System
tY Alteration/Remodel ❑ Concrete Total: .) Height: f1 Individual Sys♦{sm �j
Li Repair ❑ Masonry SEP Permit# Lit—'3/O
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: .- Setback: t1 Private well ❑ Two Party
Type of Heat: Proposed: __.1_ U Public
Total: tt- Name of System: P«P{,4/
ti L)E. f� ,._
Effligy
If this is a Commercial Project 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:
r1 Underground Tank t.1 Above ground Tank Size of Propane Tank:
Ill Heat Stove I.1 Cook Stove a Woodstove t.i Fireplace Insert LI Hot Water Tank I 1 Pellet Stove [i 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 ail property lines,buildings and septic system components,
including the reserve area.
Square Footage For Office Use Only
Current Proposed Amount
Main Floor rr Consistency Review:
2NU Floor Base fee:
. 2 -
3t0 Floor Additional Section:
Mezzanine: Plan Check fee: 1
Heated Basement ',? I - A �; State Surcharge fee: 4
Unheated Basement Pot Water Review fee:
JAN
Other Unheated 911/Rd Approach fee:
g TOTAL: $
r S +J
Garaa/Ca rt
6e7 /G �r
Decks / Receipt Number: 1 / ¢
Other Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
jpe!r ma et-Value.of ails bor and materials foundation to finish Q -
11-
KInitials:
G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
•
N ❑ •
❑ ❑.❑: ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ o a d
0 ❑ ❑ 0 ° a E H
O F' �P W N F-' 0 Cl ti
H .0. N hi H F•' o w 0� --1 01 Ul • hi (-I-
0
II 0 ' ' W (D . . 0 H
0 td
a m mi rt
rid P" n r}
H. N• (II hi n0N• o (ooy� t�ro (nbrau~imalm �roo (Donahano amm
cnt-I) F0 H mo � 0Nrl, FirrancDl( rr ol� F' E000b ¢ au. �• gon b
N 0 o ff 0 (D 'i a H H' H II° a (D (D n N• N 0 rr ° t i c H ' O r
rare a (n � N0 ((DDaona.H) inn (NDorar � c�D •� na � rroD
�' Md '>srr N (n (nNo (n � In IA
0 O 0
(D td n 0 H 0 H. hi ►-1 H. 0 1 i a rt H F i N Fitt (D 11 0 (wD r N m o a F-' ft (D o a F' rt a o
oP o 0-. N, 1u H � ° rtHo ° m rr�C N an G rrn H. a � w �' �� 0 n O b
` O H rnW c m o N N - m n a F 'N - - (n a m cn O rt. H H.
rtM a � � (1- 0, rt � o Cr �' w o (D n a £ (D rr o 0 ,H , E
c). b U] tr �. m o f :t 0 r(, 0 ^ rt 0 n a a a G
N n H
a 7�s2 (D r I 1-J. O ¢. 0 0 E 0 R, O (rt o hi a I'.
P.td • rtAAl p1, npa, Na N Na rt , N• A' n N a 11
(-r r. rr 1 i 1✓• m a
�' �, a Cu 0- oN a co H• � H. N n rD l r aom ~ (n
rr - o (D VI H. 0 (Dnmrra pl � F' C H ° �
a 0 n o N 11 HI 0 hi � yN H E H � '� Mo m 0 m m (at
U) c kp 0 H- H• ' 0 rt
'(D m g �' (t ro rt N E N rt ' 0 H- - C o '
a a �
m n N• O 0. H. m o0a NN a
� oaao 0 own H •
�' o � ,1a � rrarr � � n
1.1
•
/\l
_ �1
c__ (1, t-- r — � —
---it---
311(94:.1 00 I 1 7) -1'11
`I N
H1
I E N• i (T -• 1
c r
�1
(n l
' o - N. V,i ! t-
O
II P ! c, O --
�1 i- I SSbjj
C�''
1 i i
�`
4.
\ -------- ,11
t
2 12.4,1 r I Vl
-------1—/ \
V
71
-n
E .
lT
(
(tl }
xs-c, 1 =
I
, _
I 6
•
•
1
1
1' IL'-O° v- v —{
L (9-0i. i. lol III L
m
5'- 3'l 1. 41- q l l
2
V
D�LK
lox Im'
c0
IJI
�
N
"/P
axe HDP,
� G
' bIIJ�IJ�
p# cI x 13, . LARPE7
tr
(o�—
ic�.
11
Itoo
I 9S
�N
-- - —I,
L_ t I r J
il/ ^
o to
IS Its CaR�ET
VAU L."j5D GE1Lt
I
a" u'g
1
1 Ig p
'
I U S'iA
(DER
\5nec
\ mrtf'
Bnti - i
nL
1 In aN Q-
I&Y.100
v a
-
1 i l,/g QAAILrE 1
( W
gS loe
pub IIL II
F1 d
v L__JLIu
/AE A6H E
_ ( C, qOA
9e �3 -G8
I
At
bE5LE-
C�� Iz�%
Zo'x 23^ t{^Cc��c.. sine,x
�
alb,o
x
J
• Ll4R. FlRERATEp g" Cq,\V.F1, ti
(TYrE "x^) 01,1 WAR/A j f?BAP,'CT 0
VALLS � UWDER 2N' F R
ALSO \YRep ALL PO rs f Fv/ xs x I
In
��
Pec
5° x 200
S"!d � 5IC-rlD
- �Cr Xlo pR. �VF1h2)
4'
X•II8 CA.zfF-T
iG ll0 V
Ll 6/ADK E
DET.
4Klo H(PrM \ LV Z4\�
Lc1_3it --
3(0' ICTN \YALL. b� \ 4� IIW N L L t
i �Y TO 0�
it
11� 2' d
LoxB Nb2 (Dp 2�-
2- AO so
3'-
WIAOLE +OLISE Vr--rJTILATI0tJ IdTFECTRATED \V/CE►JrF,A.L. f-roCeo A
NOTES:
I. WHOLE HOUSE PAN/ 6ATH YENTILATOR (1,,5 SONE)
CONTROLLED Ely 5WITGH IN E+ATH, &Y PEHUMIVISTAT
OR 6Y ahrP-AL AAwITCH VIA 24VOLT RELAY [51 F<.
rizgsH NZ -lUPM-r pAMrM ItP CON TKOL.L 20 Ib7
CeNTRAL "ITCH OFL Gl9HUh11D15TAT, FUttNAGB F7�N
YI-STjLIftTLb Fft" AIM— CONTROLLED " 24VOLT
RELAY [GsyR] OF- Ib'r T,5TAT VIA, 24VOLT "L,-k-( [HCR].
2. Ut4mlzGUT IeOROom mp $A714 VOOF-4 to
F"-GM AIF2- CIRCULATION THI:OWH HDU56
1\
/`�, iL
FL OD
LA, W
I:j
t.r—tst,-1f�--a.rV
GA7 't - -
(- /'- G)
NO
J
� 0`
G
N
nl
A�
i,
YM
>
�h
V
ate_:cc
O
O
3
Y c O
`O
6
P
• w Ill O
•
r. f
r � o w c
C
�.« C
.o
O
co
4-
LO
m
� r
0
Co -7
a
Q
3 ►+
z
� x
m
Ir
Q UJ
c u
n-
O J
O
m
IL
[y
Q IVF4" )
N DBl6 �/J
41r
o II_ III=
_1
DBLI F/J
Jv — L7rl
------- ---
21l 4u _ -----
51 pll I n
Ql _ LdxlL B/n.(DF-#
a
nr I
(cX10 qpe (t/Fit
� cnlrr'n �'r I_IIIF_\.
1144
�U °
h+1 A[3ovE
N
�' 31/ 12e e,�:�, an.. (�f-V 15r�o►�E D�
- -- loI—b11 ___X
1 1 / UII
,I u
C/:FI-ip `Lk LI/Je
ill-------- _.._
/DXS {inR,—
vto o 3l0
T NEW lam. `�-
(IN
it VSMOKF
IIO V h/AOK9
l*. DET, Lei
To WII� jtw4n,
rJ oN i! f
1 `(
-�D
� �10
a2
;1j
1
IrVC
-
i. f5U1LRING-j...!...... :.:[[ah Pl:�(; .\V IT ...91 W •S.E !� L'X naSU� t) g�{0�
.?.'SOUR'l�LLYLICIIJC�..PSETJE"�N :S7iUp} ARouNR TUTS .M:IR . '��'U—S
4.
'.5 PW.Gt iXI:L �1;U:CS� P�INGT NOLE5..11:7 . F•
IN'SUL.ATE ._.YiJ/CCL:S: P:11'<.YAI _iA1TG5UNR
5 'SNO\.LFfL�3_':5H7a*'�p�E [7l 0R \JRN. Lox/ CQf.tTP-pL,.
�EVIGC�1TNQ.'x LI/d IT TOTAL' pLoi+l�rt1
Gip;:/A. PEfL..�NQSi'LER�.:H D..... .: ..
10 ;�5H27CyEiL EI-iGLiSSEVRj '5NiKL,L P.iE..: PROVIREO .
J /cCpEtZEP_ tiR..l 7�\INATEV�'aa E't`( r7CW'5.- OK.--;M-fE2 _..... _._.._
7._SVATE B.. Ltf7^J_ET LCNI�AR,T/.�I:IJT TtS "A-/nifJl/.CU//�. OF.30it
-1RE-� 1V ITN A /AI
8 P.�CRfL00/A EURBS`J.'. 1 #Wr7ON'/ -SHAR
LL ISM • uov10E" ITH A /ii1 N I /AUA. E.�CIT o61
/AIF IfA\U//l OpENA15l E' A -j � R 'A"N/.\AWI%CU� 0 :94'� �
W
RGYh f-.Pco _ _TO_. \VIIJOl7\./ 'SILL.
t-E;1Y_L'R2f"�=-•SGIIaLL-.fSE. IN7fALLER 01.1..Lo�vL'�tZ. .. tiuol�l e :To:_hLEE�luca. atcEnb• ------
IV IN ;.b.gkLL r:e ....:. PEL76?N12FJT'_t"..�•'.1f
1
PI'azONFJFJT.::3CVITGFI".OTNEfL.TFaAIJ_.We WgIZECT_-..._ BAN 27 2005
PRt3_LL' 4TI OQ: . _
Io. Furzunce T,JG2✓nr>�TAT hNL1 LL {Se" Ec�U1R WITH q1J AJ-1'J/.�ATI IJI 'I FIT �-•=T I'�+.ALL G,7N. (_.- j
Z I C rl
----------------
N
Q
T
N
s
s
°
«
Y
_
n
Cc
M ■
O
yY"Y
,J tl
U
O {
«O
YY
Ea�E�as
L
L L it
£-
cA
c
e E o
W
0
0
U)
W
v
In
co