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HomeMy WebLinkAboutBLD2007-00157 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD07-001 57 Received Date: 4/17/2007 SITE ADDRESS: 1305 S DISCOVERY RD Issue Date 6/4/2007 PORT TOWNSEND, 98368 Expiration Date 6/4/2008 OWNER: JON N JONES PHONE: (925)484-2546 SUSAN A JONES 6766 MENLO CT PLEASANTON CA 9458-84432 MOE'S DISCOVERY ROAD TRACTS SUBDIVISION: Block: Lot: PARCEL NUMBER: 001205001 Section: 20 Township: 30 N Range: 01 W CONTRACTOR: MCFADIN & DAVIS, INC PHONE: 360-379-1175 1095 TREMONT ST PORT TOWNSEND WA 98368 Contractor's License MCFADDI969MA Expires 7/1/2008 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ALSO U/G 500 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 234,000.00 MAIN: 2,224 CODE EDITION: 2003 ADD'L: HEAT TYPE: RAD OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: 5N GARAGE: 400 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,744.15 KAS 04/17/07 89786 Exist: Exist: Plan Check $1,133.70 KAS 04/17/07 89786 Prop: 3 Prop: 3 State Building Code $4.50 KAS 04/17/07 89786 Total: 3 Total: 3 Potable Water Application $58.00 KAS 04/17/07 89786 Total: $2,940.35 Directions to Site: Driving South on Discovery Rd, the property is on the left approximately 1 mile South of Jacob Miller Rd Also see Map Quest Directions and Map 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 SPECIAL CONDITIONS APPLY -SEE ATTATCHED Jefferson County Building Derision Permit Nu*Or: BLD07-00157 Applicant: JONES BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:C0 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 Setbacks Erosion Control Foundation Footing Footing Drains Foundation Stem Wall Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing Blocking Airseal Insulation: Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION !Aliffeeri FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00157 1.) The application was reviewed by the Jefferson County Department of Community Development staff on June 4, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: SARPA aquifer recharge area. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) The applicant is proposing to create or add 3000 square feet of impervious surface and 3000 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 10.) The site plan as submitted with the building permit application on April 17, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated June 4, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for a single family residence with attached garage and 500 gallon under-ground propane tank only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than 2 unlicensed vets shall be stored on any lot unless totally•ened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 14.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 15.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) The building height is not to exceed 35 feet. 18.) Minimum setback from South Discovery Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 19.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 20.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 21.) The lot was created through the Moe's Discovery Road Large Lot Subdivision on September 12, 1990 under AFN 334496. 22.) A septic permit (SEP94-0045) is now filed with SEP07-0147 that was approved on May 10, 2007. A well review (OTH95-0199) was approved on August 22, 1995. A building permit (BLD95-0440) for a single family residence was cancelled on August 15, 1996. 23.) The parcel is served by an individual on-site well. IU ILDING PERMIT APPLICATI�i Review Ty N ML Ty 186 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00157 Received Date: 4/17/2007 SITE ADDRESS: 1305 S DISCOVERY RD PORT TOWNSEND, 98368 OWNER: JON N JONES PHONE: (925)484-2546 SUSAN A JONES 6766 MENLO CT PLEASANTON CA 9458-84432 MOE'S DISCOVERY ROAD TRACTS SUBDIVISION: Block: Lot: A PARCEL NUMBER: 001205001 Section: 20 Township: 30 N Range: 01 W CONTRACTOR: MCFADIN & DAVIS, INC PHONE: 360-379-1175 1095 TREMONT ST PORT TOWNSEND WA 98368 Contractor's License MCFADDI969MA Expires 7/1/2008 REPRESENTATIVE: MCFADIN & DAVIS INC PHONE: (360) 379-1175 1095 TREMONT ST (360) 385-9772 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOF NEW SFR W/ATTACHED GARAGE ALSO U/G 500 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,224 VALUATION 234,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 400 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: 1 41In 109 Type Amount Paid By: Date: Receipt: •:v�[D�e A Permit $1,744.15 KAS 04/17/07 89786 RcD'/EED Plan Check $1,133.70 KAS 04/17/07 89786 State Building Code $4.50 KAS 04/17/07 89786 JUN (P 2007 Potable Water Application $58.00 KAS 04/17/07 89786 Jefferson County Planning Total: $2,940.35 & Building Department Nfil )) ( ON \ JEFFERSOfUNTY • �3 DEPARTMENT IIF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 ri 360/379-4450 • 360/379-4451 Fax p' www.co.jefferson.wa.us/commdevelopment if u t Master Permit Application MLA: © 1- Nc Project Description (include separate sheets as necessary): Y O I'O IAA r k;{I Ta 1 r I 1'�� i� L %G�' of '1 0.Tl d-G I?ect 4 0,101 Tax Parcel Property Z.17 i 1 9 y9,f4. �1 Number: 00 Z.05 DO Size: 5 ocres (acres/square feet) Site Address and/��o}r Directions`to Property: (� / 1 305 V;sc '/ V Rd. �c't4 1 4V't�7 elAc( �l.flt.v<,;, �, ir. ��Ha� t� 1„.„„ Property Owner(s)of Record.` Sow on Sus aye Jes �� c . t .; -k ,u. ,E Z ,.w 5 Telephone: Z 5— 15 t1 h Fax: email: Mailing Address: 6766 Ile 11 do T. p/e& 5atttovi C.A. 9 s 8g L. LI3Z Applicant/Agent(if different from owner): PI, .F o i i v pQui Telephone: z� 1 G__ -7)8 i —5116 Fax: 360— 38 5—9 7 7 Z. email: Q,,fav\ af�01 y r; )y ,i 1 CI Mailing Address: 211 16,1 for 5 . iui�e ' Kr-t- TovJ>nse VIA, . V36 t What kind of Permit? (Check each box that applies ®Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ®Single Family CZ Garage Attache Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use 0 Short Plat** El Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** Fr Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ 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)* 0 Shoreline Management Variance ❑Temporary Use ❑ C:omprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑ Tree Vegetaion Request *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: a � DESIGNATION OF AGENT I hereby designate N S VA V1S to act as my agent in matters relating to III' application for permit(s). OWNER SIGNATURE _ Date: % O By signing this appli do form,the owner/agent attests that the information provided herein,and in any atta me s,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/age t 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 a 'ed later ins ectio . Staffs ss and right of entry will be assumed unless the applicant informs the County in writing at the time of the 'cation that he s e t for oti �� ��� ���� Si natur Date: 6 laj�e The action or action A licant 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 re in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trarefOT le respo sibil• for adheri g t and complyin9 with the ESA. The Appli ant hasy read this disclaime and signs dates it below. Signature: P`L A E'`.J Date: q 4113 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc V • BUILDER STATEMENT • F 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: MCFatillA t- Qav, (360) 3ciJ —5/16 (366 ) 36'5-177Z. MAILING ADDRESS: Z I I "Ttivy16r 5i 5u,le 7 PwA.r0 68, EMAIL: (: -o tn(a olyw1VVS.Yte+ CONTRACTORS LICENSE ` WAINS NUMBER: OO 5 Z 9 1 NUMBER ARCHITECT/ENGINEER: K k b o r IL(' PHONE (3 60 )3. /t D FAX: ( ) MAILING ADDRESS: EMAIL oorck i feCt@ Surf be5t.Aet Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Er New Z Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank 18'Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 3'Z Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 5 E 1-) i`1/°1`) ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: IN Private well ❑ Two Party Typg of Heat: Proposed: z ❑ Public RQ.ctto.Ai /ofop,ne_ Total: -3 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 I Above ground Tank _ __ Size of Propane Tank: 500 9/. Fi I Heat Stove I Cook Stove I Woodstove replace Inselr' Hot Water Tan9 I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes 7-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 EH Bid App Review: Z.22.4 1993311/.1 )6.CD Za Floor Heated Consistency Review: I.5-5 Other Heated Base fee: :, . ,. r 744,r d5 Mezzanine Additional Section: Heated Basement ;�I Plan Check fee: Unheated Basement State Surcharge fee: ,1. So Other Unheatgc} 3? 1tf• �- Pot Water Review fee: 9a J Garage/Carport Li" 0 SUBTOTAL 1 128.bc 31 q( .35 Decks 911/Rd Approach fee: Other )Ct Cat i rt /}TAL: $3 I`7 .5.. Receipt Number: 8 w7 Cash/Check Number: `�(h rp a0 ESTIMATED COST(REQUIRED) oRrO =((05, Date: •Fair market value of all labor and materials-foundation\o finish) ti l 67 Z. 3 1-1000 ) Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 4. 6. JEFFERSOfUNTY •1 \ �,3 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • q� Np$ www.co.jefferson.w360/379-4451a.us/commdevFaxelopment Master Permit Application MLA: Project Description (include separate sheets as necessary): Tax Parcel Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Telephone: Fax: email: Mailing Address: Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]k* Ni l ,�I i i ❑ Single Family ❑ Garage Attached/Detached 0 Discretionary"D"or Unnamed, s��I ssi i`` ❑ Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities ** I t ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ►ii i\ W .. ❑ Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** rittiN3ill# /",1 ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Kermit Revisions** ❑Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *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 prgvide acces1 nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any reg9ired lat r i ections Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that a he wants prbr notice. Signature: L. ,, , Date: if ittic 7 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 is ed will not.. ' tr the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo are in co pl. n with tie Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable respons bilit f adheri ig to and complying with the ESA. The Applicant has read this disclaim r an signs and dates it below. Signature: I, ; E,,L/v' i i�, c J ( .� er �6� Date: / z t' t G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc I aBUILDER 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: t 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: ❑ New ❑ Wood Existing: Li Sewer ❑ Addition ❑ Steel Proposed: Bank [] Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: 1 Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 0 Public 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i 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 EH Bld App Review: 2nd Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc O ---. .i L r: 7,T____: _c_._ NN -- --7 O �0 0 iT K __.1 X s� LxmHZ oN• 3 _�°>,s _ Ns —(AH 2 D�a r 'IT1 \ xnamwer h1 JNH. o r- -.l0 _Im I� x1[ , 1 ! 1 ! - �__, Nz mzHr , IIIL-- r m 1 o xI7, 2 r • x ( L l 7~p ! oll s is.�` 1,CpTr, •____] II,\J , NII�7. �ji �/ID iZ rn i: \_ , A III / C e1r, ```• ■ P''aWII - T O m O o LP v o (TT rn NI -71 m n o r N 0 II 1'o f, a —1 I In -- \ I N m -aL U oZH<rm2 , ® J r b N i�� r-- [ L r C 1 m X A� , Li o r;'f1Z il x IW x O - JID mN 'CD O H IZ H • • wa I j ► ! t!Iil - _ v i__ -- i i o e N Ni _T r--r-. m_ N i C.....: / N o0 ., O y --C `sue THE DRAWINGS AND PLANS SET FORTH ON THIS SHEET AS INSTRUMENTS OF COMMERCIAL RESIDENTIAL O %D 0 m p3 SERVICE ARE AND SHALL REMAIN,THE PROPERTY OF EZEKIEL MCFADIN, C Z m m0 DESIGNER.WRITTEN DIMENSIONS ON THIS DRAWING SHALL HAVE PRECEDENCE ray M D r D OVER SCALED DIMENSIONS.CONTRACTOR SHALL VERIFY ALL DIMENSIONS, `, m • -i 3 :U CONDITIONS,ETC,PERTAINING TO THE WORK BEFORE PROCEEDING.THE I MCFADIN&DAVIS I 0 (�I cn m 0 10 m DESIGNER MUST BE NOTIFIED OF ANY VARIATIONS PROCEEDING. THE DESIGNER LICENSED INC. CA oD MUST BE NOTIFIED OF ANY VARIATIONS FROM THE DIMENSIONS AND/OR BONDED EZEKIEL Z ..� CONTRIBUTIONS SHOWN ON THESE DRAWINGS.ANY SUCH VARIATION SHALL BE INSURED FOUNDATION•FRAME•FINISH D M FADIf RESOLVED BY THIS OFFICE. Ph:360-379-1175 Cell:360-643-3425 - - Fax:360-385-9772 WA#MCFADD1969MA I ,c) p N 70 '� ;U, ;-1 om 0Ov -1 II-1 • r l — £ Id0 In i---I it Cn <° m ors`°DER 0 Z �, ,o -< Iz ,ITT o 'cr I D ,� • i 71 !<N t it (JT i • r it,...., ono --c. "+ f�+ m or, m r 7o O 70 vi 00 00 v -c. I� u, •-1 D 1 r o N Q 0 -Cr•c Z. O 73 3rr /KD ) ;_c m m Uf i[. - o v, ' ( / D> _ 4 T1 k 1 \Jo o - O r rn--� r- Z 1 1 as —I o !, H ,I' o c a 't O — z ►-+ 4 "! v ) CD m s O s u, Jz 1<' %H c. A ' , s o cri T D - J vt~nCA ' Z • H C �z o �� � ' < � Orn_ Orn --I F • rr • -'p a TR s, Z rn O 7ja --1Z3 r- In 2 'rn G7Zs� cr' D I .. , I� R' s-LP rri • CP H :O � ;70 I�� H � � Z i W o pa lam. 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