Loading...
HomeMy WebLinkAboutBLD2007-00032 ILDING PERMIT APPLICATId BLD07-00032 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00032 Received Date: 2/2/2007 SITE ADDRESS: 3035 PARADISE BAY RD PORT LUDLOW, 98365 OWNER: TERENCE A LIMB PHONE: 425-774-3475 DEBORAH L LIMB 7104 229TH PL SW MOUNTLAKE TERRACE WA 980432308 TALA SHORES#1 SUBDIVISION: Block: Lot: 12 PARCEL NUMBER: 998200111 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: BUILT RIGHT PHONE: PO BOX 360 MOUNTLAKE TERRACE WA 98043-0360 REPRESENTATIVE: JULIE MONTGOMERY PHONE: 4826 E MERCER WAY MERCER IS WA 98040 PROJECT DESCRIPTIOP CONVERTING EXISTING GAR TO LIVING SPACE - NO ADDITIONAL BED OR BATH - NO MLA REQ'D TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 497 VALUATION 32,444.00 ADD'L: HEAT TYPE: PRO 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: PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 Total: 2 Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date �Permit $472.05 CJZ 02/02/07 87307 PR®\/P D Plan Check $306.83 CJZ 02/02/07 87307 �/ c State Building Code $4.50 CJZ 02/02/07 87307 FEB 7 2007 Total: $783.38 Jefferson County planainp &Building Department Jefferson County Building Divvon Permit Numbs BLD07-00032 Applicant: LIMB BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Erosion Control Footing Drains Framing 4/23/67 GWIt W Co izri (Z 5-TRAPSg TGP Rio&� Guu ,�FiZv,4 o k 4 it a7 Airseal Insulation:Walls 1/2 SA I% . 5</ Insulation: Floors �1 7/ /67 //ODEle..g�a0,2 pIL Insulation: Ceiling 057/0 � Wallboard Nailing S//5/o- 6� Drywell/Alt Drainage .V6A, Address Posted CX,iriAG FINAL INSPECTION 409/c7; G :K fit- -'F,oa,1 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00032 1.) NO PLUMBING REVIEWED OR APPROVED. I • el; PARADISE BAY ROAD D -jCo.3S' — og.AIN ,► � — `� FIeLD — 1W ii n 1 Z '-- - _SP- -ti / =X I m - o -, uo l I o� I 1 I 1 II I °— t 4 4 f• 1 i I -P 1 W IN31.4c1O :4Aa^ A. 50 1.--- I ! ! ... Loot z - e i i7---I! 1 (—�._ J I I • • on>n8'� n , {mo D R- D m -'31 1 FEB 21'-3• „ 4'-1" 5'-0" t �/ Iwo t j iw31 -tea___,_- 0110 N -. _ .- O �Jmx---vI .. xS�c I o ®©Il 1- -0 ayZm rn 14 2' s"xe-=2• Z 6 •• N I. I I /xN IL! U _ O I owa \ Ta.. 23. w ' �'9 -•c:,j-......,1 tm co --'i. , A L J 2 1 5 GO I I11 1D 41 t., / 1 i FURNACE 4_ jy POCKET DR a •=n CA /N„,, 0 V� - Si 1 4 \i . J ..- 1 Li r J Lt I - I--- --__T---- ^'A= .... 0 -, z x N Si s� �m zv y 1 -1 • • ''7 'ON coO JEFFERSON COUNTY 'al 4' ' '" 1' DEPARTMENT OF COMMUNITY DEVELOPMENT `' ;.- ,,-3 04 621 Sheridan Street• Port Townsend • Washington 98368 360/379 4450 • 360/379-4451 Fax E F ' 4. 8 •- 2 2007 '�-� •/6. (p www.co.jefferson.wa.us/commdevelopment i Master Permit Application 1 MLA: , , _,41 Project Description(include separate sheets as necessary): - Got1U C-lam (ST. GAM&t 'TO LAY(NG SPAG-5•. _ Tax Parcel 41.1 Property A, 4,1 [.��� Number: -I I I Size: W 'n Cf' (acres/square feet) Site Address and/or Directions to Property: 30 3 S �AR45\0 6 EA"•( 12.1 Al Property Owner(s)of Record: It- /t(C� I-[')'E-(y2ockN L IITelephone:_4ZS 7.74-• =?'"i- 1 S Fax: — email:-14 i WIIJG 2Ver'hear,Goya Mailing Address:, L pq- Z.& ft c5k/ki/ M130 N['(_/ is-g_e_i[ wA c( 4 3 Applicant/Agent(if different from owner): JUL I. • Nila>rlTcol'-&& .X A4 h- T -ZZ Telephone:Z06, •4 q2.•P S'S�- Fax: ZZ•Z iZ • 3�8� email:Jvl�2tvlant�am�f a:a�. Mailing Address: 4 Z4. 5- (mot!✓ IG 32• VJet.y IM �_ (ems) wA 1,j,1_,6 �} rh rl.t-2')+-N. What kind of Permit?(Check each box that applies) r`-`L' "� , uilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑Demolition Permit ❑Conditional Use[C(a),C(d),or C]** XSingle Family ODiscretionary"D"or Unnamed Use Classification U Garage Attached/Detached ❑Special Use(Essential Public Facilities)** ❑Manufactured Home °Boundary Line Adjustment d Modular °Short Plat** ❑Commercial* °Binding Site Plan** Q Change of Use °Long Plat** El Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments** El Propane ❑Plat Vacation/Alteration** DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance OTemporary 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: pESIGNATION OF AGENT I hereby designate J V us- 1grW I act m "gent in matters relating to this application for permit(s). OWNER SIGNATURE. l • Date: - 6 - , Ry signinn this application form the_•vner/a nt attest that the in ounation is y t t a o the Lest of ^' �yc •� °• provided herein,ana in an attachments,is rue and c�-rect t - I 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 C unty and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access nd rig t of wil e'assumed unless the applicant informs the County in writing at the time of the application theLhe or sh want pri` nnttce. Si ue: jr: — g-. _r ) Date: ' -�,''C 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 Jeffer Court velop nt code.The Applicant acknowledges that he,she or it holds individual and non-transferable res Ili adh ri to d mplying ith t SA e Applicant has read this disclaimer and signs and dates it below. Signature,_ 1_4' - Date: I1-fr -40 , / 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 assumin the respo "bility f t Ceheral Contractor for the proposed project. i nature: o Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 1 13II►,..,-_ �1GF{'7- L.d ZINJ (u1,P670. 2383 (Vizi/A73.985) MAILING ADDRESS: PO x 360 MDur.4-Ikke'Mr kiA- EMAIL: JmoDa @ bVrI 1�-f►Shi--. LOr►� CONTRACTOR'S LICENSE 1• Ct33 WAINS J NUMBER: g 0 I J.}-le-*0SSkA NUMBER ARCHITECT/ENGINEER: JV f Id Mon,y�thM,,,�•1 ,� `t- PHONE (�j(�)�8 n1 FAX:(a(j�)z -36�q MAILING ADDRESS: 4g , f Y►`e,IY�✓kAT, flit_ ai N. 1c'(�I�QEMAILJcAleONDn# OrntriA4k;CL ✓K�j4JtO?yf l Project Type: Frame Type:- ' Bathrooms: Shorelin4 .ripe of Sewage Disposal: ❑ New ; Wood Existing: 1.- ❑Sewer Addition Cgo(aa k El Steel Proposed: fit ❑Community System Alteration/Remodel 0 Concrete Total: 2 Height: Individual System Repair El Masonry N, 60-70' SEP Permit# ¶3 1 I✓ Demu!iYon ❑ Other: Bedrooms: Water Supply- Existing: S Setback: 22 Private well ❑ Two Party T pe of Heat Proposed:To /�D/ e tp Public ri,ea-4._ rvi,v,l,k, / Name of System: 6FSi- 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 ve Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below tt at apply: °Underground Tank .-!Above ground Tank _ Size of Propane Tank: ) ❑Heat Stove ❑Cook Stove 0 Woodstove, _~aplace Insert• Hot Water Tank ' `• ?ellet 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 building 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...061y- --"G---- Amount Revision Main Floor Heated , -0 SF 9 7 � EH Bld App Review: tda) 2nd Floor Heated A Consistency Review: L XV Ii/lC i Kr' -�� Other Heated Base fee:J "A la (D-b Mezzanine Additional Section: i-iei;e Basei,i;,,,1 r Plan Chock fee: 3Q� �83 Unheated Basement State Surcharge fee: d... t 5 Other Unheated Pot Water Review fee: Garagre/Carport A SUBTOTAL 5\ 3X ceHaDecks 911/Rd Approach fee: Other X TOTAL: $ , eceipt Number: (6-1 301 1 / Cash/Check Number: l 04\0 ESTIMATED COST(REQUIRED) Date: lI /Oi.Fair market value of all labor and materials foundation to finish � d )D00 pp Initials: D:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc