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HomeMy WebLinkAboutBLD2006-00595 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00595 Received Date 10/17/2006 SITE ADDRESS: 90 EXPLORER LN Issue Date 10/31/2006 PORT LUDLOW, 98365 APPLICANT: THOMAS K BOUGHNER TRSTEE PHONE: (360) 437-0773 SANDRA L BOUGHNER TRUSTEE 90 EXPLORER LN PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 153 PARCEL NUMBER. 990603153 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: PO BOX 3 PORT GAMBLE WA 98364-0003 Contractor's License: RIGGSC*028RW Expires: 5/2/2008 PROJECT DESCRIPTION: NO MLA REQ'D REMODEL EXISTING HEATED BASEMENT: CONVERT BEDROOM TO DEN (NO CLOSET) SEWING RM TO A KITCHENETTE & STORAGE RM TO UTILITY/LAUNDRY RM UPGRADE BATH CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall SheathingIAA Framing. I I-30-O' `}�4- . p Plumbing:?code Ram ?Onmo SPG^c=s AC— F,n1P't—' l(-3D—a, t 6" Propane Tank/ Lines: Insulatio)L tl.30—Ob 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: D/C -Qor .ct AAA 1 I B D HEALTH DEPARTMENT AND PUBLIC WORKS APPROVALR Q ED 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 B ILDING PERMIT APPLICATION BL Review T Ty595 vype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00595 Received Date: 10/17/2006 SITE ADDRESS: 90 EXPLORER LN PORT LUDLOW, 98365 OWNER: THOMAS K BOUGHNER TRSTEE PHONE: (360)437-0773 SANDRA L BOUGHNER TRUSTEE 90 EXPLORER LN PORT LUDLOW WA 98365 PORT LUDLOW NO. 2 AREA 3 SUBDIVISION: Block: Lot: 153 PARCEL NUMBER: 990603153 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: PO BOX 3 PORT GAMBLE WA 98364-0003 Contractor's License RIGGSC*028RW Expires 05/02/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NO MLA REQ'D REMODEL EXISTING HEATED BASEMENT: CONVERT BEDROOM TO DEN (NO CLOSET) SEWING RM TO A KITCHENETTE & STORAGE RM TO UTILITY/LAUNDRY RM UPGRADE BATH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 25,000.00 ADD'L: HEAT TYPE EEE 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: OSS WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 4 Exist: 3 Prop: -1 Prop: 0 Total: 3 Total: 3 Routing Date: ko\ \'‘ ao Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $391.25 KAS 10/17/06 85121 Plan Check $254.32 KAS 10/17/06 85121 State Building Code $4.50 KAS 10/17/06 85121 31 1(w Total: $650.07 ¢,soxc ,ECE11YEitl ,�� 6 JEFFERS�OUNTY W ' �� }w DEPARTMENT OF COMMUNITY DEVELOPMENT OCT' ti `V 621 Sheridan Street• Port Townsend • Washington 98368 UI+ 1 7 ���� 360/379-4450 • 360/379-4451 Fax 4gsx ' 0 www.co.jefferson.wa.us/commdevelopment JEFFER ,SON (MOND liClI Master Permit Application MLA: 1JO frtL.A R- -C `D Project Description(include separate sheets as necessary): eA-,,74„,,7 hdJoe ,„.2e,,a, — Remodel basement,incl: Convert bedroom to a den,sewing room to a kitchenette and storage room to utIlity/laundry room. Upgrade bath. Tax Parcel Property Number: 990 603 153 Size: 0.28 acres+/- (acres/square feet) Site Address and/or Directions to Property: so Explorer Lane,Port Ludlow WA 98365 Property Owner(s)of Record: Thomas K and Sandra L Boughner,Trustees,Boughner Family Trust dated July 24th,2001 Telephone:36o.4s7-0773or360-316-9923 Fax: 360-681-0350 email: tomboughner@gmail.com Mailing Address: 90 Explorer Lane,Port Ludlow WA 98365 ApplicantAgent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ElBuilding I Variance(Minor,Major or Reasonable Economic Use) p Demolition Permit ❑Conditional Use[C(a),C(d),or Cl** d 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 i Road Approach °Planned 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 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 t. -fferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff' and right of entry will be assumed unless the applicant informs the County in writing at the time of the applic hat he o -wants pri otice. Signature: . . - �� C3/7/C) '6 Date: / The action or actions Applicant will �,••-rtake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lea. o 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 son County development code.The Applicant acknowledges that he,she or it holds individual and non-transferab i or adheri and complying with the ESA. The Applicant has read this disclaimer a d sign and dates it below. Signature: //f .. Date: 1U /2 6 D:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc 00 BUILDER STATEMENT �` The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they at ttnea 1� re city\\ they will be assuming the responsibility of the General Contractor for the proposed project. ��j®® 1! ��ttll�� Ji Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Ft i 1 t1 zUD6 Riggs Construction (36° )271-3161 (' (((� ) MAILING ADDRESS: Port Gamble,WA98364 EMAIL: JEFfE�SU� CUUN�Y OCf CONTRACTOR'S LICENSE WAINS t J N L NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: 2.75 8,,Sewer ❑ Addition 0 Steel Proposed: 1(remodel) Bank 0r- Community System � 0 Alteration/Remodel 0 Concrete Total: 2.75 Height: 1-1 Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: 4 Setback: rivate well ❑Two Party Tye of Heat: / Proposed: Public ,llitic � ¢baarc1 Total: 3 Name of System: Li?C- 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 0 Above ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove ❑Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove In 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 ail 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"°Floor Heated Consistency Review: Other Heated Base fee: 3q1. a5 Mezzanine Additional Section: Heated Basement Plan Check fee: _ �� Sic Unheated Basement -5 rk.,,:_ -520 lz, State Surcharge fee: 4 5 C: Other Unheated Pot Water Review fee: -._..._. Garage/Carport SUBTOTAL Decks 911/F2d Approach fee: q)-1 5-4" (no Other TOTAL: $ (c)C)G .G"1 Receipt Number: 95 I _Cx 1 1 Cash/Check Number: 1 n3& ESTIMATED COST(REQUIRED) Date: 16117 / L Fair market value of all labor and materials foundation to finish $25,000 Initials: �� D:\PerntitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc , , • r, ,,, 4_ _ j _ .. _ ... .__._ _ _„ _ .. .__ ._ _. . . . . . . . _ ---_.-_---__ ... --______z I —T— I w f i s 1 •, I H Aj 41 i i 1 ' .4.).31-1,1 . \.f\‘, % N.) i . . .- kr. N. - U (.:. I ij <-, \ I 1 1 ' i - — I I ( \L, . • �' x '' I ! • I' C p . . ......... _ i I a 1 m 1 ,r d A : s 1 r1,,, ,, I c � � Ik yin Ii i 3 �� a _ I. • ' • Cil Li ITI k. - Q _ rc__, \ I / \---7-. ... . . . . . _....... I ,. J h....._.._............ .„ - k ----, • . ..... , •3 i w. •.t. , -•. , /-.., ,0 i I 'I ?' \ . . X , t-- 1 .... \ I / , .)I i , .01 r / \ , , ..z, \ , , , / „ , .„ , / • i. 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