Loading...
HomeMy WebLinkAboutBLD2006-00262 1PUILDING PERMIT APPLICA1N BLD06-00262 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00262 Received Date: 5/16/2006 SITE ADDRESS: 100 PINE DR PORT TOWNSEND, 98368 OWNER: KATHIE KING PHONE: (360) 379-4167 100 PINE DR PORT TOWNSEND WA 98368 CAPE GEORGE VILLAGE DIV 4 SUBDIVISION: Block: Lot: 39 PARCEL NUMBER: 940800039 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: BISHOP CONTRACTING LLC PHONE: (360) 561-8005 4143 150TH AVE SW TENINO WA 98589 Contractor's License BISHOCL009DO Expires 03/28/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP 8 X 10 DECK BUILT WITHOUT A PERMIT - NO MLA REQ'D - APPROVED THROUGH BLD04-829 TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP DEK VALUATION 1,886.00 MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 80 SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: 4./.6/10(c) Type Amount Paid By: Date: Receipt: -Approved/Date Permit $66.20 KAS 05/16/06 81130 Plan Check `- '`' �•-` �- $43.03 KAS 05/16/06 81180 State Building Code $4.50 KAS 05/16/06 81180 MAY a) 2006 Total: $113.73 Jei'Si;ii(Giif;y NlaViiliii� & Building Depaninefii -- n ('-'7i°14--C(r, JEFFERSCl�COUNTY f= 1 c �' DEPARTMENT OF COMMUNITY DEVELOPMENT `� 1 3 �' b \''' r` ' ` '44 621 Sheridan Street• Port Townsend •Washington 98368 1 ear S - '- A' w 360/379-4450 • 360/379-4451 Fax %. ca ixk `� ,'/ 6" www.co.jefferson.wa.us/commdevelopment A y ou,Lb `��htOek k I- tcha6 He krns Rme 360 +3CD©c4 S2Ct climb Master Permit Application Pla'`s f eu r MLA: Q (`'I A t2 Q`� 3(c0.. 3-n-'-4450 37�i-+•f�lsl N I Project Description(include sanarata chants as necessary): X l U deck_b u n f-.c4(11,,, Per f by C'atk:'c.tti - Tax Parcel Property Number: q l-to-- c('o-- 0-39 Size: (acres/square feet) Site Address and/or Directions to Property: I C Pine_to liri ve.. P7 T J' . (,(iAr li'f 3d Property Owner(s)of Record: +l.l"�1 (Li Z k.rte3 Telephone: 3 x - 3 c)ci-q i to 7 Fax: - email: Mailing Address: \C.N.1) 0-rt� tJr i )L Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: what kind of Permit?(Check each box that applies) Building . 4,(_. to ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C)** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached 0 Special Use(Essential Public Facilities)** f Manufactured Home 0 Boundary Line Adjustment ❑ Modular 0 Short Plat** ❑ Commercial* 0 Binding Site Plan** ❑Change of Use 0 Long Plat** ❑Address ❑ Road Approa 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Propane ( t \ re ''` f Vacation/Alteration* ❑Allowed"Yes"Use Consistency Analysis ❑�hdreline Master Program Exemption/Permit Revisions**❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAR * r. , ,Shoreline Management Variance ❑Temporary Use `IlAY 1 ' L ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* C!Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium "MayrequireaPre-ApplicationConferen El ffrui Coum DC( *Requires Please identify any other local, state or e(leral permits required for s proposal, if known Conference 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. r' Signature: ' Date: l 0k6(60 , 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 lake"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 responsibbi�lityy d►ffor adhering to and complying with the ESA. The Applicant has read this I er and signs and dates it below. Signature: ` �(ptipJ V V 6 __ Date: 5/( • _ ! 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: `'")j S 1^a.�a Cc;-►�"CYcr.Li c rt' PHONE: FAX: Q...0,-\. MAILING ADDRESS: I� 37 i t,3(:e )3�z _ 3 7 t 5 II j q 3 I Y o A ue T c'it;si t.u.A- caS l EMAIL: CONTRACTOR'S LICENSE NUMBER: WAINS ARCHITECT/ENGINEER: _ NUMBER MAILING ADDRESS: _ PHONE ( ) FAX: ( ) EMAIL Project Type: Frame T e: • New ❑ Woody Bathrooms: Shoreline: Type of Sewa a Dis osal: Existing: 9 p ❑ Addition ❑ Steel Proposed: CI Sewer 0 Alteration/Remodel i7 Concrete Total: Bankig ❑ Communitya Systemm ❑ Repair l I Masonry Height: ❑ Individual ❑ Demolition a Other: Bedrooms: SEP Permit# Existing: Water Supply: Type of Heat: Proposed: Setback: ❑ private well �) Two Party Total: r 1 Public Name of System: If this is a Commercial Project ou must answer the followin : Number of Parking Spaces: Current: Number of occupants(includes owners,tenants, employees,ec) Current Number of ADA Parking Spaces: IBC Occupancy: IBC Type of construction: Proposed Wyou have If this is a Pro ane Tank and/or A fiance Installation ermit mark all items lelow that aFood Service? Yes / No LJ Underground Tank ❑ Above ground Tank ❑ Heat Stove ❑ Cook Stove ❑ Woodstove Il Fireplace Inserte oil Hot Wane erT Tank 0 Pellet Stove ❑ Other Is this a fiance bein installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane lines,tank location and size,distances from the propane tank to all property lines,ou must also submit a site buildings buildings and septic syan showing all of the stemcomponen includin• the reserve area. S•uare Foota•e components, Current Pro•osed For Office Use Only Main Floor Amount MI Consistency Review: 2'' Floor 3" Floor ii. _ Additional Section: ��• ao IEIIIIIIIIIIIIIIIINIIIINIII Plan Check fee: Heated Basement IIf MN '$tate Surcharge fee: Unheated Basement ! , Other Unheated .• 'r•!ter Review fee: 1111111 911/Rd Approach fee: Garage/Carport 1111111111111.11 — ��t O• Decks f TOTAL: $ 113 3 Other �"S` ,f , 30 ,1, -eceipt Number: p D ';n`'i'C`> tusk- illn Cash/Check Number: O V ESTIMATED CO•T(REQUIRED) •Fair market value of all labor and materials foundation to finish Date: ?PO.oe) ,edl,4 i 1 07 I 1 f� • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00262 Received Date PORT TOWNSEND, 98368 05/16/2006 SITE ADDRESS: 100 PINE DR Issue Date 05/18/2006 APPLICANT: KATHIE KING 100 PINE DR PHONE: (360) 379-4167 PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 PARCEL NUMBER: 940800039 Block: Section: 13 Township: Lot: 39 CONTRACTOR: BISHOP 30 N Range: 02 W CONTRACTING LLC 4143 150TH AVE SW PHONE: (360) 561-8005 TENINO WA 98589 Contractor's License: BISHOCL009D0 Expires: 3/28/2007 PROJECT DESCRIPTION: 8 X 10 DECK BUILT WITHOUT A PERMIT -NO MLA RE ' APPROVED THROUGH Q D - CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. • •• ROJECT. UFFER: - Footing: . D 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 attem t Road Approach Final Approval: Zoning Final Approval: p ed. Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWEDSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOUIRS IN ADVANCE TO S Office Hours 9:00 a.m. -4:30 p.m. CHEDULE INSPECTIONS. HOT LINE AVAILABLE 24 HOURS A DAY 1:1F_BLD_Perm it_Bu ildng.rpt 10/29/1999 Per-1 40=✓n .5.- M c( U �/! 3 0 efrt4,1, #. 9 yQ s`co .3 9 S-t 4 , 13 Ts. 3oiV A, LIL' scrb d;i4s i0,, (q)O-t C� dp6.� L,'llq�,�. 1 'sr i/ �; 39 f 1 "_ 04 • j ar'ac1 r' t ,,, ,,,r.u., ,,, ...1 ,,, . st _, ss , , - �- Sin Ir:,� -�'1 Qr 7 $ 7 l ''T,-.)'- �'`� poet peers ' A. on .° �-ate--- - s a,r .,.. _ + S. �,,�,, s, , ? Iu Boyce spG, Ls , 9'erte- becukS �b' o-- r i'3 c>.) -I- f, 1.0 4). ......"c S 1 t- IS t -* -° . t ' ' ' 'CEIVE��, JEFFERSON/'u Nry R JR