HomeMy WebLinkAboutBLD2005-00656 GILDING PERMIT APPLICA•N BLRDOe 00656
Type:
Jefferson County Department of Community Development
621 Sheridan Street Pori: Townsend, WA 98368
PERMIT #: BLD05-00656 Received Date: 10/12/2005
SITE ADDRESS: 170 WINDSHIP DR
PORT TOWNSEND, 98368
OWNER: SANDRA PITELKA TRSTE PHONE:
LOUIS F PITELKA TRUSTEE
170 WINDSHIP RD
PORT TOWNSEND WA 98368 KALA POINT#1
SUBDIVISION: Block: Lot: 48
PARCEL NUMBER: 964700048 Section: 26 Township: 30 N Range: 01 W
CONTRACTOR: C H S INC PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN**9790Z Expires 09/07/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIO” A/G 120 GAL PROPANE TANK, INTERIOR PLUMBING AND
APPLIANCE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $49.00 KAS 10/12/05 77100
Total: $49.00
i •
PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00656 Received Date 10/12/2005
SITE ADDRESS: 170 WINDSHIP DR Issue Date 10/13/2005
PORT TOWNSEND, 98368
APPLICANT: C H S INC PHONE: (360) 732-4585
P 0 BOX 248
CHIMACUM WA 98325
48
SUBDIVISION: KALA POINT#1 Block: Lot:
PARCEL NUMBER: 964700048 Section: 26 Township: 30N Range: 01W
CONTRACTOR: C H S INC PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN''`9790Z Expires 09/07/2006
OWNER, SANDRA PITELKA TRSTE PHONE:
if different: LOUIS F PITELKA TRUSTEE
170 WINDSHIP RD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: A/G 120 GAL PROPANE TANK, INTERIOR PLUMBING AND
APPLIANCE INSTALLATION
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 10/13/2006.
REQUIRED INSPECTIONS:
Tank/Line/Appliance: OGG
FinalApproval: (.7 l cn7 -o -
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:0C a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
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SITE ADDRESS: 21 S. LYTER AVE.
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OWNER: ALICIA GIFFORD
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APPLICANT: FOX HOMES LLC
253-858-2614
ke ;Ail:7110a, ,,,,,. et0.- 1- std.c ... .
�4�¢ �06. JEFFERS•COUNTY 1-
'� ' `, DEPARTMENT OF COMMUNITY DEVELOPMENT
`4 621 Sheridan Street • Port Townsend •Washington 98368 r
360/379-4450 • 360/379-4451 Fax
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s NGz �cF �(1N COUNT"
Master Permit Application ItZ ;
Project Description (include separate sheets as necessary):
f(1-001 —CP N - ; , (���(L L P L A 4 0 1 /4 (�4.We 11J,i A&L O ri
Tax Parcel Property
9� 7
Number: OO �g Size: (acres/square feet)
Site Address and/or Directions to Property: 1'70 \i\l( N OS I D(L . . lG► eNb (kralA KO
Property Owner(s)of Record: F ITC.LK A i 5/1 N 44
Telephone: .6v-37q..." 2S-t3, Fax: email:
Mailing Address: 17o .),Nio N?Q D9- _ P -To bviS Qq3?
Applicant/Agent(if different from owner): r F r> I kl 'i./C'-P,y Pftoc A
Telephone: 3c;,-T,;2-41-5W5 Fax: 7'3Z-(f2.._ email:
Mailing Address: PO Be) . 2 L.61 ) Ctt(MAC4.I Ai cn32 S'
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]*-
❑ Single Family 0 Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached 0 Special Use(Essential Public Facilities)**
❑ Manufactured Home CI Boundary Line Adjustment
❑ Modular El Short Plat**
❑ Commercial* [l Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address t I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
El Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
0 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 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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: .4-ei t; t� L----- �-
G _ Date: ��)�-/2-6�j
The action or actions Applicant LI undertake as a result of the issuance of this permit may neg ' ely impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as tho nns are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances tote applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or__agehcy 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 complyipg with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 1Date:
_ G:\ ermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• OWNER BUILDER STATEMENT III
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: _ Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
,i2mQ-4_ ( ) ( )
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 ❑ Wood Existing: ❑ Sewer
I Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
[I Repair ❑ Masonry SEP Permit#
Li Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: Li Public
Total: Name of System:
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:I i Underground Tank ,t l Above ground Tank Size of Propane Tank: /��r.C) R 6f69iAND
Heat Stove `g Cook Stove I i Woodstove L I Fireplace Insert )Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes /�,
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::p s—i�,e �
2' Floor Base fee: 4-/� o U
/\
3`0 Floor Additional Section: �l . lJ
Mezzanine: Plan Check fee:
Heated Basement State Surcharge fee:
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport TOTAL: $ 7 ,�
Decks Receipt Number: / -7 0
Other Cash/Check Number: `t 1
ESTIMATED COST(REQUIRED) Date: ( , Il i
•Fair market value of all labor and materials foundation to finish 1 v 1 k li UM
Initials: `
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R401.3 Drainage - 2003 IRC
wall
The grade away from foundation
shall fall a minimum of six inches will
the first ten feet.
Section R602.1" - 2003 IRC
114" x 3N x 3' w
plate as
A minimum between
shall be provided
foundation sill plate and the nut.
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ANDREWS ENGINEERING HAS ADDED THE LATERAL AND GRAVITY
ENGINEERING REQUIREMENTS FOR4-(� 22 `Ab TO THE
ATTACHED PAGES ) MCP THE ATTACHED STAMPED S
SHEET(S) CONTAIN THE REMAINING ENGINEERING REQUIREMENTS.
THIS COVERS THE ENGINEERING REQUIREMENTS. SINCE ANDREWS
ENGINEERING DID NOT DRA."SHEETS Co, THEY CAN NCT
BE STAMPED. THE CALCULATIONS ARE PROVIDED IN SEPARATE
8-112 X 11 STAMPED BOOKLETS.
S,P.LIF i -bl a
NOTES:
*THIS STRUCTURE TO BE BUILT IN STRICT COMPLIANCE WITH GOVERNING
MUNICIPAL CODES (CITY, COUNTY, STATE, FEDERAL).
*CALCULATED DIMENSIONS TAKE PRECEDENCE OVER SCALED DIMENSIONS.
'CONTRACTOR TO VERIFY ALL MEASUREMENTS ON JOB SITE.
`STRUCTURAL AND FRAMING MEMBERS INDICATED ARE BASED ONLY ON SPECIES
OF LUMBER THAT SATISIFY THE SPAN.
*ANY STRUCTURAL AND FRAMING MEMBERS NOT INDICATED ARE TO BE SIZED
BY CONTRACTOR.
'CONTRACTOR TO CONFIRM THE SIZES, SPACING, AND SPECIES OF LUMBER
OF ALL STRUCTURAL AND FRAMING MEMBERS.
EIF THIS IS NOT RED
DONOTCOPY
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SHEAR WALL SCHEDULE
( SEE ATTACHED FLOOR PLANS FOR SHEAR WALL LOCATIONS)
Shear
Sheathing
Panel Edge Holdowns @ ea. End Sole Plate Nailing
Applicable Detail(s)
SHEAR PLF
Wall
(See Ftnt 1)
Nailing (See Ftnts. 3 & 4) Anchor Bolt Spacing
see ftnt 5
(See Ftnt. 2)
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(1) layer of 7/16" OSB
8d @ 6" o.a 22" CS16-R (2) 16d @ 6" o.c..
SEE DIET S11
166 W
or 15/32" PLWD (1) Side
STRAP
134 S
O2
(1) layer of 7/16" OSB
15/32" PLWD
8d @ 3" o.c. STHD10RJ STRAP A.B. @ 3'-0" o.c.
SEE DIET S2
336 W _
or (1) Side
OR PHD5
OR S4
337S
Gor
(1) layer of 7/16" OSB
8d @ 6" o.c. HPAHD22STRAP A.B. @ T-0" o.c.
SEE DIET S1
201 W
15/32" PLWD (1) Side
OR PHD2
OR S3
94 S
FOOTNOTES TO SHEAR WALL SCHEDULE:
(1), EXTERIOR SHEATHING ON EXTERIOR WALLS NOT INDICATED ABOVE SHALL BE (1) _\
LAYER 1/2" PLYWOOD OR 7/16" OSB. APA RATED. WALLS NOT ON ABOVE SCHEDULE
NAIL 8d @ 6" O.C. PANEL EDGES AND NAILING 12" IN FIELD. I
R
(2). MINIMUM 1/2" A.B.'S , MIN. 2 ANCHOR BOLT PER WALL. 12" FROM ENDS. PROVIDE 2" X
2" X 3/16" SQUARE WASHERS ON ALL ANCHOR BOLTS. SPACE A.B.'S 6-0" O.C. EXCEPT AT
SHEAR WALLS SEE SHEAR WALL SCHEDULE. DUE TO NEW PRESSURE TREATMENT OF
WOOD THE ANCHOR BOLTS ARE TO BE HOT DIPPED GALVANIZED UNLESS A BORATI
TREATMENT IS USED FOR THE SILL PLATES. r
(3). ALL HARDWARE SHALL BE SIMPSON BRAND OR EQUAL. LAG SCREWS IN TREATED
WOOD TO BE HOT DIPPED GALVANIZED.
(4). LOCATE CRAWL SPACE VENTS TO MISS HOLDOWNS BY 2" MIN.
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(5) NO SHEAR WALL WITH SHEAR OVER 350 PLF.
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FLDOK -L�11� � NAIl..1
Section R313 - Smoke Atarms.
To be located in each sleeping room
and outside of each sleeping area in the
vicinity of the bedrooms. Interconnected
110 volt with battery backup.
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IF THIS IS NOT RED-
DONOTCOPY
41- 2;�� -
ANDREWS ENGINEERING HAS ADDED THE LA LEBAL AND GRAVITY
ENGINEERING REQUIi--liWa .TS F,QI,TO THE
ATTACHED PAGES THE ATTACHED STAMPED S
SHEETj*CONTAIN THE REMAINING ENGINEERING REQUIREMENTS.
I HIS°41i THE ENGINEERING REQUIREMENTS. SINCE ANDREWS
ENGINEERING DID NOT DRA'," SHEETS (,a THEY CAN NCT
BE STAMPED. THE CALCULATIONS ARE PROVIDED IN SEPARATE
8-1/2 X 11 STAMPED BOOKLETS.
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Igarage.
O g6A1,
R308, Glazing,-20031RC — —/ O
All glass located in areas considered
hazardous must be safetyglazinginstallers
MA1V tea'
identified by manufacturer's or ns allers � LEM3�
label. (acid etched in glass)
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