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Home My WebLink AboutBLD2006-00586 II 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00586 Received Date 10/12/2006 SITE ADDRESS: 100 CEDAR DR Issue Date 10/24/2006 PORT TOWNSEND, 98368 APPLICANT: PATRICIA A FOLEY PHONE: 360-385-3724 KATHY J MACHMER JTWROS 411 RIDGE DR PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 61 PARCEL NUMBER: 940500060 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: JEFFERY S GALLANT PHONE: 360-643-3283 2880 HASTINGS AVE PORT TOWNSEND WA 98368 Contractor's License: GALLAJS944BT Expires: 1/30/2008 PROJECT DESCRIPTION: REMODEL EXISTING HOUSE - NO CHANGE IN FOOTPRINT CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : 'ELK c F W 1.L )c (Z. o—2.7-C Sheathing: / Framing: \Gtfi ia-„L 12.A.1- s M S u-u),/,-4 1,4 12--e7-0„ Plumbing: 12,-1.?-d2(. Propane nk/ Lines: Insulation: 2P-Ob..4)f kau a:44.AZ2,7-04. Sheetrock:' ®' i/97,e, Septic Sytem Final A pr al ,"7S be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: a( .enr -:A ( 9/i2.fr7 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 10/29/19 FAILDING PERMIT APPLICATA BLD06-00586 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00586 Received Date: 10/12/2006 SITE ADDRESS: 100 CEDAR DR PORT TOWNSEND, 98368 OWNER: PATRICIA A FOLEY PHONE: 360-385-3724 KATHY J MACHMER JTWROS 411 RIDGE DR PORT TOWNSEND WA 98368 CAPE GEORGE VILLAGE DIV 3 SUBDIVISION: Block: Lot: 61 PARCEL NUMBER: 940500060 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: JEFFERY S GALLANT PHONE: 360-643-3283 2880 HASTINGS AVE PORT TOWNSEND WA 98368 Contractor's License GALLAJS944BT Expires 1/30/2008 REPRESENTATIVE: JEFF GALLANT PHONE: (360)379-3283 2880 HASTINGS PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP REMODEL EXISTING HOUSE - NO CHANGE IN FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 72,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 Total: 2 Total: 2 Routin. Date: `aaP Oil Type Amoun aid By: Date: Receipt: Approved/Date Permit $797.75 LYK 10/12/06 85088 �j� Plan Check $518.54 LYK 10/12/06 85088 / ' State Building Code $4.50 LYK 10/12/06 85088 OCT ay 2006 Total: $1,320.79 Jefferson Li:, .,iy P'id Bui::,;,,0 ue:;artment ON , • 40 JEFFERSON COUNTY �� ,�`` DEPARTMENT OF COMMUNITY DEVELOPMENT , ~' `�I 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450• 360/379-4451 Fax ,; www.co.jefferson.wa.us/commdevelopment III° Master Permit Application MLA: N.0 t •- d I Project Description(include separate sheets as necessary): /� Tax Property Parcel P�-c ie 1 w 1�✓ t ON /<e v1 o eh, j Number: _ vo o 9 Li 05(Doa (t,D Size: I cl, ) S 9 t—j (acres/square feet) i Site Address and/or Directions to Property: /00 Co � A R. G,4,oe G e �� t)1 I/A o/e_ Property Owner(s)of Record: P4 j/"1 e_;,r� j-0 z_ I-) ' Ay Telephone: .3 D S — 0 7 a `7 Fax: email: Mailing Address: Applicant/Agent(if different from owner): V €_AP• C-7il L_A") I Telephone: 6 y - D, v3 Fax: email: ec-bree L'Yl°eN Mailing Address: /d A K}G _p_�ij^ �lt.lit/Se- C-o 0'1 What kind of Permit?(Check each box that applies) ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) Ii Demolition Permit ❑Conditional Use[C(a),C(d),or C)** Single Family ❑Discretionary"D"or Unnamed Use Classification Garage Attached/Detached OSpecial Use(Essential Public Facilities)** ❑Manufactured Home °Boundary Line Adjustment C1 Modular [Short Plat** Q Commercial* °Binding Site Plan** Q Change of Use ❑Long Plat** Q Address i Road Approach OPlanned Rural Residential Development(PRRD)/Amendments** Et 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 ❑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: DESIGNATION OF AGENT I hereby designate c/ePi 66 LL.9}il) I, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: /Q / ( ` / By signing this application form,the owner/agent attests that a 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: 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 co fiance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable,fesppns ty for adhering to and_cQrnplying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ,.fir ` Date: Z D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.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 HOME INSTALLER: PHONE: FAX: , 0-e/c ��c,L�,,z.T/f� ( ) ' ',33,1k3 ( )- 7f -3. g3 MAILING ADDRESS: V c. C� L7,H, l�' S 1✓ EMAIL: G L o z p 1(_YPi�, 0WI CONTRACTOR'S LICENSE /'_ rT k ,-T c C q Li y A 7 NUMBNS ER NUMBER: lJ �'`�T J L L ARettreeT/ENGINEER: 6 G/ .,u-`/.S e-� PHONE ( t)) -yi/N FAX:Sjo)633..�1 3 3 MAILING ADDRESS: ` EMAIL l Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: ❑Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community System g-Alteration/Remodel 0 Concrete Total: Height: Q Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: ❑Public Pi.opa�-ems Total: Name of System: 0 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: CI Underground Tank 0 Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove D Woodstove ❑Fireplace Insert CI Hot Water Tank in Pellet Stove p 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 l S `fJ S EH Bid App Review: 2"°Floor Heated Consistency Review: • Other Heated Base fee: 5 �q7 9 Mezzanine Additional Section: Heated Basement Plan Check fee: 5`S A Unheated Basement 3� State Surcharge fee: Other Unheated Pot Water Review fee: ____ Garage/Carport SUBTOTAL rn Decks a op 911/Rd Approach fee: _____ Other TOTAL: $(' 6 . Receipt Number: gl Cash/Check Number: �^ ESTIMATED_COST Date: 6 1�C� .Fair ma et value f II labor and materials ration to finish co -7 d/ y r l_1 \J Initials: C i "),,,, D:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc ei ,..... 1 1- i / I -\-- .," : P i 0 1 r--- .-... ! ..._, is 0 1 7 , i El ( ) i -RIO \--- 1"---- 1 0 D - r . 7) ----_) r 0) ..______.....4 ii 1( ) C\ . e"c ' ...________ r_.\„.../ c ---- ,,, - (-) - n ‘.-_ . .i (i, ._ . s ,..._ 0 .<, . rn -4 : cr) ....i . I ' 1 I. ___t. L. .• r ,,-. 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