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Home My WebLink AboutBLD2005-00069 OUILDING PERMIT APPLICA)N BLD05-00069 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00069 Received Date: 2/4/2005 SITE ADDRESS: 50 FOSTER ST PORT HADLOCK, 98339 OWNER: PHILIP C PEET PHONE: 360-379-0419 ELIZABETH E PEET 50 FOSTER ST PORT HADLOCK WA 98339-9519 SUBDIVISION: CHALMER'S 1ST ADDITION Block: 6 Lot: 12-17 PARCEL NUMBER: 942600613 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REMODEL - KITCHEN & FAMILY RM STAYING WITHIN EXISTING FOOTPRINT - NO MLA RQRD TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 1,900 VALUATION 12,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 600 SHORELINE: CONST TYPE: DECK: 150 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD 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: /�//'15 F&W Landslide ` V Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: ii 't4\/ Permit $209.25 BAC 02/04/05 71332 �? Plan Check $136.01 BAC 02/04/05 71332 MAR 1 (p ' t State Building Code $4.50 BAC 02/04/05 71332 Total: $349.76 Jefferson County Planning 6,Building Department • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00069 Received Date 02/4/2005 SITE ADDRESS: 50 FOSTER ST Issue Date 03/16/2005 PORT HADLOCK, 98339 APPLICANT: PHILIP C PEET PHONE: 360-379-0419 ELIZABETH E PEET 50 FOSTER ST PORT HADLOCK WA 98339-9519 SUBDIVISION: CHALMER'S 1ST ADDITION Block: 6 Lot: 12-17 PARCEL NUMBER: 942600613 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: REMODEL - KITCHEN & FAMILY RM STAYING WITHIN EXISTING FOOTPRINT - NO MLA RQRD CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: rib 6-C fro_ Plumbing:01li '(ab -C2-o< Propane T k/ Lines: Insulation: ` (, . -er Sheetrock! , --"o.,'— Septic Syt final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: ((' 06 , 4y 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 INSPECTION` Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY • I:\F_BLD Permit_Buildng.rpt 10/29/1999 r, -_ AC A oC I m W LL — — — — .... — _ _, _ _ ... — _ — —- L r- 3/v 17 h W 43 /, - 1 - al. M -y -Z. J7/7 4 / f -_ tiq. _. Ai/4y/1: t- _ _ _t . J -94 11t-.__L- - p _ -- .--- �O - --- `p 4. ice. „Jr1 �f10 __ATM . r! ,- ._ . ,,: ,. -1 . -- -- -,- Y _ _ ..___ ..0 / ,, / 4 „„ : i -1,A.:' i' /4__ . I. J 11Wind ° - 1 T. eIllik cO JEFFERSWOUNTY ill (-----.3 °14 DEPARTMENT OF COMMUNITY DEVELOPMENT ' ` `4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax e T'6-1 j G A-pc\nit 4O www.co.jefferson.wa.us/commdevelopment J Master Permit Application FEB — 4 200, MLA: L V Project Description(include separate sheets as necessary): P-C-7 I"t=t)C L • MC.\1/A 4 ic I T Chi i N To F-A`-1It. `/ f cc,4 TR i ' AP. 0Grr iq 1,14 I.t` r._ Tax Parcel G Property Number: / A L4(_"`e L'/ j Size: 5; '` 6q Er- (acres/square feet) Site Address and/or Directions to Property: 5-c c_,. L-r—E4k _ PT- 1f t\ b L cc_0f, L.z/A Property Owner(s)of Record: I' Ft I L { P c • O CC-r- Telephone: L-L, 3 -79- 0 4 / 9 Fax: email: a c-?-t f c-'v tC''c,/y Pc rt . Mailing Address: S -• .s r A., T / "7 if A t✓ [ L,.c K PI/A !" 3 7, di • Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) .Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** )Rt Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis El 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 r II 1 L t- {C' 't to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE.. - ``� 7 6 - Date: / / 6 3 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 any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: C- _ Date: / ` / 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)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: �� -'' r",. Date: G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1111 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 assumin the responsibility of the General Contractor for the proposed project. Signature: C _ Date: , GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) Ff9 —)42rn 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 a Wood Existing: '-. ❑ Sewer ❑ Addition U Steel Proposed: -Q.- Bank ❑ Community System X Alteration/Remodel ❑ Concrete Total: .L Height:,� 0 Individual System ❑ Repair ❑ Masonry SEP Permit# !v.) 41 i--v- 0 Demolition ❑ Other: Bedrooms: Water Supply: Existing: ) Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: -t; p Public 1� CIA A4at C T i2.1( Total: Name of System:F La f If this is a Commercial Proiect 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: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove Ll Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ 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 Current Proposed Amount Main Floor Consistency Review: 2NU Floor Base fee: .tt"t 4(15 3`0 Floor Additional Section: Mezzanine: Plan Check fee: l 342 Heated Basement State Surcharge fee: 1,50 Unheated Basement Pot Water Review fee: PCO10/1 -00'Ca(Q Other Unheated 911/Rd Approach fee: Garage/Carport t9cc lhcert, TOTAL: $ 3 4q . 1(c Decks r SC Receipt Number: 1-7r 3 3 a Other / Cash/Check Number: i o4 ESTIMATED COST(REQUIRED) Date: c t Zit ^OS .Fair market value of all labor nd materials foundatioLtoto fini� / I 'C O t l Initials: G:\Permit:enter\FORMS\DRD FORMS\ astir Per7niplication 7-8-04.doc