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HomeMy WebLinkAboutBLD2006-00044 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD06-00044 SITE ADDRESS: 372 E ISLAND VIEW AVE PORT TOWNSEND, 98368 Issue Date: 03/2/2006 APPLICANT: Final Date: 9/13/2006 LYNNE W WEBSTER 550 PINECREST DR PHONE 360-385-6528 PORT TOWNSEND WA 983682510 SUBDIVISION: PROSPECT VIEW ESTATES Block: Lot: 2 PARCEL NUMBER: 989600002 Section: 35 Township: 30 N Range: 01 W PROJECT DESCRIPTION: REMODEL/ REPAIR EXIST RESIDENCE -FIRE DMG - NO CHANGE IN FOOTPRINT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-1 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/13/2006 Building Official Signature ACM — �' Date I:\F_B LD_Occupa ncy.rpt 10/29/19c BUILDING PERMIT Jefferson County Department of Community Develo 621 Sheridan Street, Port Townsend pment PERMIT#: (360)379-4450 FAX (360)379-45198368 BLD06-00044 372 E ISLAND VIEW AVE PORT TOWNSEND, 98368 Received Date 02/1/2006 SITE ADDRESS: APPLICANT: Issue Date LYNNE W WEBSTER 03/2/2006 550 PINECREST DR PORT T WN EN WA 983682510 PHONE: 360-385-652 SUBDIVISION: PROSPECT VIEW ESTATES PARCEL NUMBER: : o2Section: 35sh,p: 3oNn . o 896000 Block: Lot: 2 1 W 260 A POINT DR PORT TOW END WA 98368 PHONE: (360) 385 7 PROJECT DESCRIPTION:Contractor's License: KELLESI150L F 360-385-3115 es: 6/6/2007 REMODEL/REPAIR EXIST RESIDENCE-FIRE DMG - INSPECTIONS THAT APPLY TOMG NO CHANGE IN FOOTPRINT CALL IN FOR THE REQUIRED SETBACKS: YOUR PROJECT. UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation. Shear Wall : Sheathing: Framing: '�. ., . Plumbing: ►��® Propane Tan /Lines• Insulation: '��'�� 2 Sheetroc Septic S m Fi al Road A Pproval MUST be obtained before final of structure can be attempted. pproach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RET OZ THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROP R TO FINAL INSPECTIOI LY ED 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 IF_BLD_Permit_Buildng.rpt 10/29/1999 tILDING PERMIT APPLICAT!N BL vy 044 Review T Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00044 Received Date: 2/1/2006 SITE ADDRESS: 372 E ISLAND VIEW AVE PORT TOWNSEND, 98368 OWNER: LYNNE W WEBSTER PHONE: 360-385-6528 550 PINECREST DR PORT TOWNSEND WA 983682510 PROSPECT VIEW ESTATES SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 989600002 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/6/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' REMODEL/ REPAIR EXIST RESIDENCE -FIRE DMG - NO CHANGE IN FOOTPRINT /I j6 j �) 3. ►,)cf /-1/6 /20 p7d tem eK- TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP VALUATION 120,000.00 MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE HTP OCCUPANCY: R-1 HEAT BASE: HEAT TYPE: nPZ— OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routing Date: Type Amount Paid Ely: Date: Receipt: Approved/Date Permit $1,105.75 LYK 01/31/06 79037 APPROVE Plan Check $718.74 LYK 01/31/06 79037 State Building Code $4.50 LYK 01/31/06 79037 MAR a 2006 Potable Water Application $55.00 LYK 01/31/06 79037 Total: $1,883.99 19ii kilL)(G untY Plarinin:, . , • OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owr [5 Qf2he parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the Gen ctor for the proposed project. Signature; Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: lLtat.r 5H t€1-05 )tie ('/fog ) 365'11 Si. (360 ) ?SS - 311 MAILING ADDRESS: Z(0D y„osith. ill. . Aft Pr` EMAIL:dsh lees c 0)ci 141 eu S • 17 e { CONTRACTORS LICENSE WAINS NUMBER: 4/co...fa-sr! so L% NUMBER ARCHITECT/ENGINEER: `/E t L, SN/- �+ i (L.1 AS �y PHONE ( ) Fax:( ) MAILING ADDRESS: `LI N)tt r4 CR a� J M( -i Ir7�-44t . EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: U New yd Wood Existing: �) .- U Sewer U Addition U Steel Proposed: Bank U Community System .A lteration/Remodel LI Concrete Total: 2 Z, Height: Individual System yt,Repair U Masonry SEP Permit# `'>_.d)? 00 00-4 LI Demolition LI Other. Bedrooms: Water Supply: Existing: 3_ Setback: U Private well U Two Party Type of Heat, Proposed: r Li Public Nip.T MO Total: -5 Name of System: 1 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 Underground Tank f{i Above ground Tam Size of Propane Tank: I-Lc) 4 f-c, i Heat Stove i LCook Sto�� j Woodstove I Fireplace Insert i Hot Water Tank j Pellet Stove i Other Is t appliance beinilinstalled in a Manufactured/Mobile Home? Yes / No When applying fora 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 ' _, r1/2/At' _ �/G/ r $ /RF—s 2 r V 4.61 oC) 2NU Floor Base fee: 3f0 Floor r Additional Section: ' O J 75 Mezzanine: I Mn h 4 7-1 Heated Basement I ) rge .-. Unheated Basement x JAh 1 ta vleW fee': q t 'Do "C Other Unheated 911/Rd Approach fee: Garage/Carport /, 5w TOTAL: $ ► q S3,qg Decks Receipt Number: r-7 G o 3`7 Other Cash/Check Number:— 0 1/ ( _ ESTIMATED COST(REQUIRED) Date: r/� ((� Fair market value of all labor a d materials foundation to,finish 1 / Q t!D C. V2o j n°a_ Initials: 2 C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc h• 4. �Q„5ON G'prr� JEFFERS OUNTY • W a DEPARTMENT OF COMMUNITY DEVELOPMENT _. '-7 ` ` 621 Sheridan Street• Port Townsend-Wastingtori�98368 4. iiiielbo 360/379-4450 • 360/379-4451 Fax C.• I p� www.co.jeflerson.wa.us/comfidevelopment 1`SHINO1� 2006 Master Permit Application BAN 3 MLA: _ Project Description(include separate sheets as necessary): 2eivIcive.. &) -w5 7-es/ e /f;Al- _ C/A/7RC_, Tax Parcel / Propertyfelb Number: �M9 O(JQ (10Z Size: /Z,St i (act-es/square feet) Site Address and/or Directions to Property: 31t 14aAj$D \)I vkAl Adz Property Owner(s)of Record: L.4 Poe- Wer6s1 )f Telephone: ?jiffs'(v SZJ Fax: email: Mailing Address: ' 'S'SO Ri-112iz. r tt •-TOW)45Q' ..6 t..✓ 14 9g3L•J Applicant/Agent(if different from owner): V LG b.1t L.Q I S �N CZC- , Telephone: 3(ap - 39 3 ��-1��1 51�P /�" Fax: "j ; $- '3t(5 email:015A i G�d 1 s ,a I ty1 pus . ►� Mailing Address: Z.4QO IF/"f' tA- -9A _ Pr . TeL0011c-.4. _ What kind of Permit?(Check each box that applies) U Building J Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit J Conditional Use[C(a),C(d),or C]** , Single Family J Discretionary"D"or Unnamed Use Classification U Garage Attached/Detached J Special Use(Essential Public Facilities)** U Manufactured Home J Boundary Line Adjustment U Modular J Short Plat** U Commercial* J Binding Site Plan** U Change of Use J Long Plat""'' U Address i Road Approach J Planned Rural Residential Development(PRRD)/Amendments** 6 ,Propane J Plat Vacation/Alteration*" U Allowed"Yes"Use Consistency Analysis J Shoreline Master Program Exemption/Permit Revisions** U Stormwater Management J Shoreline Management Substantial Development** U Site Plan Approval Advance Determination(SPAAD)* J Shoreline Management Variance U Temporary Use J Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* J Jefferson County Shoreline Master Program Amendment U 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: CC� DESIGNATION OF AGENT I hereby designate lLte7.[. Sf41 S J a.!G to act as my agent in matters relating to this application for permit(s). ....fOWNER SIGNATURE Date: —30-BUG, By signing this application t m,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. `,1 -��," Signature: -4 ,p.u.�t N Date: �j 4 c.�ilp(, 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-tran,sfz able responsibility,(or adterinp to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: — \A—) Date: / 7-3o- ':; C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc • • ' l 29'-6" / 2 O, Iti'-6" /2-0'/ O o \ O \ 4 0 6 44 c N 6 o A� - P ("0. (2._ 7'n C 7 3 _p \,_ , I--2 /1^'may o P ,_ \ - 1 V O p a _ O - coT I O \ eN 0 t o. o V CM J// -P e C. Ks y ° [ \ e / 2'O" # 17'-6" / / i 9'-6' / I 0 )11111 8'9" / 26'-0" / 17'-O" / 6'-0'L---/ 0 N © O. 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