HomeMy WebLinkAboutBLD2006-00094 •
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00094 Received Date 03/3/2006
SITE ADDRESS: 146 FOXTRAIL RD Issue Date 03/21/2006
PORT TOWNSEND, 98368
APPLICANT: JERRY L HUTTER PHONE: 619-573-5159
KAREN C NUTTER
2993 CAMINITO NIQUEL
SAN DIEGO CA 921173620
SUBDIVISION: DEER RIDGE Block: Lot: 4+
PARCEL NUMBER: 001295013 Section: 29 Township: 30 N Range: 01 W
CONTRACTOR: AAWNINGS/SUNROOMS.DISTNCTN INC PHONE: (360)681-2727
141 TIMBERLINE DR
SEQUIM WA 98382
Contractor's License: AAWNII*991 DA Expires: 3/20/2007
PROJECT DESCRIPTION: UNHTD SUNRM ON EXIST DECK TO SFR
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:
Plumbing:
Propane Tank / Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: A.e.._ l2
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 10/29/1999
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Revviewiew T TyUILDING PERMIT APPLICA N BL y 094
pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00094 Received Date: 3/3/2006
SITE ADDRESS: 146 FOXTRAIL RD
PORT TOWNSEND, 98368
OWNER: JERRY L HUTTER PHONE: 619-573-5159
KAREN C NUTTER
2993 CAMINITO NIQUEL
SAN DIEGO CA 921173620 DEER RIDGE
SUBDIVISION: Block: Lot: 4+
PARCEL NUMBER: 001295013 Section: 29 Township: 30 N Range: 01 W
CONTRACTOR: AAWNINGS/SUNROOMS.DISTNCTN INC PHONE: (360)681-2727
141 TIMBERLINE DR
SEQUIM WA 98382
Contractor's License AAWNII*991DA Expires 3/20/2005
REPRESENTATIVE: BRAD BUCHSER PHONE: 360-681-2727
AWNINGS & SUNROOMS OF DIST.
141 TIMBERLINE DR
PROJECT DESCRIPTIOP UNHTD SUNRM ON EXIST DECK TO SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 10,880.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 186 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 4
Prop: 0 Prop: 0
Total: 3 Total: 4
Routing Date: --
7/66 C
Type Amount Paid By: Date: Receipt: 4 f J�.I4. tV E
D
Permit $195.25 LYK 03/03/06 79261 /'�t
Plan Check $126.91 LYK 03/03/06 79261 MAR a 12006
State Building Code $4.50 LYK 03/03/06 79261
Total: $326.66 Jefferson County Planning
&Building Department
CisQQ it
°1'1 cca vz JEFFERSOOOUNTY
W `'gf;:orll ,,3 DEPARTMENT OF COMMUNITY DEVELOPMENT
~' "i , 621 Sheridan Street • Port Townsend • Washington 98368
..1411360/379-4450 • 360/379-4451 Fax ,
1S NOO� www.co.jefferson.wa.us/commdevelopment 4 i W`
VIN 1 n QactSi-i Ir1S
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Master Permit Application MLA: .NO MLA Re id
' i nPotFNT •
Project Description (include separate sheets as necessary):
_I46sZA-L 'I'X Loi 3 i( ' Pre -vu4nt1/4rAc-rc;:to, nrati-/4MT ',a , sv,tt rcgvn an Cxcsrrnu-k,Pc24,u,Tl-"e. sec ,
Property
Tax Parcel Number: O. 2-c/ '' • Size: 5. AC.- (acres/square feet)
Site Address and/or Directions to Property: / -/Cp FOX T'(L41L 12-0
Property Owner(s)of Record: _j tr_(_ t k-A(2.EN 1-4-v TT E,c?
Telephone: 1`/ 5?3 - -)13 7 Fax: email:
Mailing Address: ?1 i? c'AmtA// TO Al) a'FL- f✓ aiEb)c 9Z//7
Applicant/Agent(if different from owner): f7CA 1 R;A:A5C/2_ — /AwN/Ai 1N5 i Si'tilzceililS e,F 1)i 17J-&-rm. J
Telephone:e10 Lg I 22121 Fax: / S'/ - U 1 c.'7 email:
Mailing Address:
What kind of Permit? (Check each box that applies)
ABuilding ❑ Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d), or Cl**
❑ 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 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
0 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
❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 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 BRA7 '''( G1' to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE f, Date: ''
a
By signing this application f�owner/ gent 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 materia 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: i-e e A- ci+.ra24; Date: ('Z'/e/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)
{ even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and J non-
transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer an signs and dates it below.
Signature: .�L -zL_ /.y,.-r..j,.,,.... Date: :-,2�`,/C V
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOMEJ( INSTALLER: PHONE: FAX:
1 + '.avtci 4. J7n✓ us b .c 6(Scrnoi4ii INC, ( ) - ; ( t'. ) f'g( ~ 616.7
MAILING ADDRESS: 14 I "I'iAAgC�,.l,.� �, SEZthiiAA EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: 11A14611 - 4.
,4/ Act NUMBER
ARCHITECT/ENGINEER: 1..InpbCr-< �r, /�;1411 PHONE ( L( ) : Fsx: (3tc ) Lis-7t,i4
MAILING ADDRESS: 3 if 5 t �� e,y-Y_6 re..- n l S3L,L EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
0 New ❑ Wood Existing: 3tYZ ❑ Sewer
I.1 Addition 0 Steel Proposed: --e— Bank Height: ❑ Community System
I Alteration/Remodel 0 Concrete Total: 3 lb_ /1 X Individual System
I Repair 0 Masonry SEP Permit#
0 Demolition ❑ Other: Bedrooms: Water Supply:
ALe: t n vnt Existing: 3 Setback: ,. Private well I 1 Two Party
Type of Heat: Proposed: —'- ❑ 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:
0 Underground Tank [! Above ground Tank Size of Propane Tank: _
0 Heat Stove I I Cook Stove 1 ! Woodstove I Fireplace Insert I 1 Hot Water Tank I I 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 Current Proposed For Office Use Only Amount _ Revision
Main Floor Heated EH Bld App Review:
(OZS
2n°Floor Heated (3 7--1 Consistency Review:
Other Heated Base fee: 195 a F)
Mezzanine Additional Section: _
Heated Basement 'DD� Plan Check fee: Igk, I
Unheated Basement State Surcharge fee: , 50
Other Unheated Pot Water Review fee: _._ ,
Garage/Carport 5a47 SUBTOTAL 3q ��r
Decks 911/Rd Approach fee: _______,m_.,—
Other OTAL: $
,5.0N2c:4,4_ I �j(Q Receipt Number: �19 a (2 I
R��4 e� /Chakber: I�aa3 4
ESTIMATED CO UIRED) Date: --I 3[3/
•Fair market va a of all labor d materials foundation to finish f/
Initials: ,L ELOPMEI\
G:\PerrnitCente FORMS R aster Permit Application 12-30-05.doc •
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