HomeMy WebLinkAboutBLD2006-00281 IUILDING PERMIT APPLICA1 N BLD06-00281
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00281 Received Date: 5/22/2006
SITE ADDRESS: 1194 GRIFFITHS POINT RD
NORDLAND, 98358
OWNER: JAMES J FRANKEN PHONE: 360-643-4347
KATHY MEECHAN
PO BOX 356
PORT TOWNSEND WA 983680356
SUBDIVISION: Block: Lot: T 83
PARCEL NUMBER: 021321058 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI' ADD BATHROOM TO EXIST OFFICE & SHOP - NO MLA REQ'D
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 5,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 1
Total: 0 Total: 1
Routing Date: I /
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $111.25 LYK 05/22/06 81238 At-
Plan Check $72.31 LYK 05/22/06 81238
State Building Code $4.50 LYK 05/22/06 81238 JUNaI 2006
Potable Water Application $55.00 LYK 05/22/06 81238 Jefferson 6)iO4, PIthining
Total: $243.06 & teparm
75,-(1
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00281 Received Date 05/22/2006
SITE ADDRESS: 1194 GRIFFITHS POINT RD Issue Date 06/21/2006
NORDLAND, 98358
APPLICANT: JAMES J FRANKEN PHONE: 360-643-4347
KATHY MEECHAN
PO BOX 356
PORT TOWNSEND WA 983680356
SUBDIVISION: Block: Lot: T 83
PARCEL NUMBER: 021321058 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: ADD BATHROOM TO EXIST OFFICE & SHOP - NO MLA REQ'D
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:fr yk) 6-a 3-On
Propane Tank/ Lines: E-?<7-1.-a4319c--9-a7Q-Ob —1—A Ok 1 ! O4,
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: �'<.` --Pot- -c'i n� I D, Pa
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED RIOR 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
SPECIAL CONDITIONS APPLY - SEE REVERSE
I
SPECIAL CONDITIONS FOR CASE A BLD06-00281
1.) Prior to final building occupancy applicant must submit satisfactory water quality samples
for bacteria, nitrate and chloride. The potable water serving this project is a rainwater
catchment system, a restrictive covenant for quality and quantity has been recorded under
511781
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
• 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: ,`L-.r L,, ---;-1- -)`.,c,tt.
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
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:
11 New ❑ Wood Existing: _ 0 Sewer
Ll Addition ❑ Steel Proposed: , Bank Height: ❑ Community System
Alteration/Remodel ❑ Concrete Total: t I: Individual System
❑ Repair ❑ Masonry SEP Permit# 06 -U00- 0
1-1 Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: \ ❑ Public
_'c�� 7t_/C _ 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:
❑ Underground Tank I Above ground Tank Size of Propane Tank: /20 G 1/,
❑ Heat Stove !1 Cook Stove LI Woodstove i I Fireplace Insert N, 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 submr 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:
2"d Floor Heated Consistency Review:
/•? No N►LA-Re
cn-
w--
Other Heated Base fee: `t l . o2rj
Mezzanine Additional Section: -_,.F
Heated Basement Plan Check fee: la. 3 I
Unheated Basement State Surcharge fee: 156
Other Unheated Pot Water Review fee: ��
ZPt -
Garage/Carport SUBTOTAL 3
-45.60
Decks 36 911/Rd Approach fee E X► ►n.,
Other
'OTAL: $l
Receipt Number: '
3i a3g
Cash/Check Number:( cgc31 I
ESTIMATED COST(REQUIRED) Date: _ 1 51 aal d6
•Fair market value of all labor and materials foundation to finish
4: //' // _)Initials: LVELUi'f,1t:N1 1
G:\PermitCenter\FORMS\DRD aster Permit A ` 30-05.doc 5
4* oN Cp�� JEFFERSCWOUNTY •
DEPARTMENT OF COMMUNITY-f3E.VEtOPMENT-" --- --
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
1". �p� www.co.jefferson.wa.us/commdevelopment
MAY 2 2 2006
Master Permit Application .__.GALA 1 No YY\L74 1`
Project Description (include separate sheets as necessary): J; ,,`, T tl
,9 /A:6 ,( ' / i 7Z5 � j— G,
Property _
Tax Parcel Number: (12 ( Z ) ®C,"-t3' Size: ,5 pG (acres/square feet)
Site Address and/or Directions to Property: `/g'ct /,fr-j7j4! 7�7.7- /2� AA4►e - 9 ut,/t ;
Property Owner(s)of Record: ' e . -�
Telephone: _s?C'-44F_5 -¢ !!7 Fax: email: • CO&, +
Mailing Address: 'S2-6p'( ,2�j'Y / E 'TPt,,.vIse /7) (L)'' Cip."'6('
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]**
❑ 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**
k. Change of Use ❑ Long Plat**
Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
L9(Propane ❑ Plat Vacation/Alteration**
❑ Ilowed"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* ❑ 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:
-- e -Pcc1-e-0/i eet F 6(= j, -ca r x
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 cess and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any require la r inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: Date: i�-44,9'`-i? t - .)0(Y 6
The action or actions Ap icant 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 Specie ct"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit
has been issued ill not 'plate the ESA. Any individual,group or cy can file a lawsuit on behalf of an endangered species regarding your action(s)
even if you are in o pliarlce with the Jefferson County de41 e.The Applicant acknowledges that he,she or it holds individual and non-
trans le respo s bility for adhering to and complying wilt he Applicant has read this disclaimer and signs and dates it below.
Signature: Date: Lt \.+'- _22_ ) 6
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
4.41
r r II
r- --'.
II I!
II
V
p ( ) a
1.
O r--
`�
rn _— 111
O ° O
Ce
O
r-
1 r - T_ r _ r
cn
s
/ , 0 coo
UN
/i 0
y Rio
a G (-1) re
Z i' 4
O Z r'l cm
• 1r�
z -,-1
rii
-
O � Vj
1 � �
r
m c
Dd
-40
DO
N
4
_,\
,, o_
O 7 W Ur 1
'Raga� n [
C
D 1 E Ji
1 fD CD N x
3 S-og2o
n' 0 (am C. c
_CD 0- w
N o cn f) A Z k j. . '
CD CD O Zcn N � r
�� o3m _ 'D � � -_ r � z
N p-.o.5- -, \ --- :20 --0 -. -;t3 z
N _1 d_ x
C.
C,y N N O .Ni .0 O ~_ O _~ O
C 3 Qf o I F12)1 *II
22 N N pr C \ , . /I� �l w. (�'I
co 0,..c ms 9 I I I I - I , , . y � d-~ V -- O � Q r 'y O ! •`i•
/
c- r�-n x A x al fTl �' �I O -�rri Z rrl
> co ',9, " s it -Z�J
rri y O ^] - fTl N Cn
to _ tv Rl —� p..:
7 Co•
"c
Z i z U) rn '
Cftz
O lk
T. I (� I I I �, .,
op $ � -
k
-•••=MN
0
..._ L-. •• _
•
, \
•••. ....
(,) _
MI
--I.._.,
(-)
ril
cf)
---1 0)
N
i 1
1 c
---
--
----
--
--
, u
- ---1
(-)
.„. ,.
_
.,
....
•.'c ::
---1 ----------
__--1 0 ---i
0 (f)
rri
0 c) -d
le
(f)._ )4
0
1C) --i
-.'
64' 0"
__-----
um r -j„„,
.
pr, T zr..1 .i8 .4 . . , i
dx x.
a' 0 z—co i 0
m P'-_.
0 4," te n. ;.10.• M
0
l' ?3 ;141 %C. CI tli ...
o-ri ,4 •0 ri(4 7J
c_ =
71
6 i 171
f11 r.....)
.1 Z 0 Z <
73 C'rri Z Cr)
zIP-?-1 n VI (I) m
.-- L_
0 ..,rn ...N.-• 0 7 0 7,'-' - -.
•• 2 z -
pi 0 z 6-0
Z 7° • SE V•-.. .7e
--< , .,.., p i ,--, ---4
.,......•
--
0 %g 'it g• m
t I
m , .
). i w i 0
•
N
_ 1W L_. Q .-
4.
— 202'-0.
i
0
o ��
,11.0 ----7 ....
12J'-6. f
, • .
It E _
. (T; t V sa _____ -, ....___._ ... ..-<,
CJ�
al limize,i; eilk. iii. v quti -,30
.11101111W.
A i\ , .intirinei - -kw l VA 0
),. 1 ,4 , , _....._ ..,.. -NT ip
, : 4
. ,
Ji- ,,
V z �-75-0• �-0'
,,„
1 Ie '`
_ .
A.
_ i ili't, t.,
\ r
) \
14 N
L PROPERTY LINE
623'-f0'
L')
mn o � A� nx
III 2 O b 2 °i C a
Cw
# v co
F
•' ; •
3
Li
6 Cl) r,g TN8 , , , , . I I pp ea - < J. 1
0 n1 I -a ti
4
w.
+ A p g4 °� .r t J
33 D In m rn u
71
pi D o o s r�1 0 ,� j ,iLi
rn
Z ,b ai £• i. ,-< I i-,O n$ i4 a.. 1. in
Od 11111
4.1
a I a 1 n
i