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Home My WebLink AboutBLD2007-00447 NUILDING PERMIT APPLICAAAN B RD07-00447 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00447 Received Date: 8/13/2007 SITE ADDRESS: 191 RIDGE DR PORT TOWNSEND, 98368 OWNER: JANET R FREEMAN PHONE: 360-379-5210 191 RIDGE DR PORT TOWNSEND WA 983689435 CAPE GEORGE VILLAGE DIV 4 SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 940800008 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: THE HOMEWORKER JO HUA EASLEY PHONE: 360-379-3799 2633 SHERMAN ST PORT TOWNSEND WA 98368 Contractor's License HOMEW**944LN Expires 6/15/2008 REPRESENTATIVE: JOSHUA EASLEY PHONE: 360-379-3799 2633 SHERMAN ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOI REPLACE DECKING AND RAILING ONLY ON EXISTING DECK -NO MLA REQ'D TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 5,837.00 ADD'L: HEAT TYPE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing ate S Imo) Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $125.25 LYK 08/13/07 93011 Plan Check $81.41 LYK 08/13/07 93011 State Building Code $4.50 LYK 08/13/07 93011 Total: $211.16 Jefferson County Building Desion Permit Nu•r: Applicant: BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes FINAL INSPECTION - ( 1 f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR (Iii1V5:- � JEFFERSO�OUNTYw \ 'rj DEPARTMENT OF COMMV ) v b1 it �' 14 621 Sheridan Street • Port Tow send •Washingtt ni 98368 360/379-4450 • 360/379-4451 Fax 4y O. www.co.jefferson.wa.us/commdevelopment SHING _ Master Permit Application .aa,r MLA: Hc& 2a 'i Project Description (include separate sheets as necessary): lJ Ot-cK "Flute ae K.tw dtC_ke.^g t 'Pa,' Civt1 C (.e4viv,e) eYr's4.1y,g ref t,4e�v.7) Tax Parcel Property Number: 9 't 0 Qj D 0 0 0 g Size: (acres/square feet) Site Address and/or Directions to Property: t- t 12-''et,e dr. Port 9owrnse CC-ape Gtte fee) Property Owner(s)of Record: J ct v+Z -4- Fri t «.ta in- Telephone: 3 7 9 • 5'z i 0 Fax: email: Mailing Address: (q f i2,•et.)a to'• Pe rt re wIA s e u.t 9 eb S 6 B Applicant/Agent(if different from owner): J o c k vet Ede$ l<y Telephone: 3,i 9 3 Z g 9 Fax: r t emarl: 7 ?S• 40 9 z Mailing Address: Z-G 33 S L.r vH q t.. 5-F . re✓+ re w‘. y e C..t. 9 Qg 3 4 4 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 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home El Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments** Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 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 .,Y e s I:•u u E0 5 C v to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 4t4./ Lli L v �/c-SE-L_'Z(,4_,, Date: Sf/3/4 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 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 'line of the application that he or she wants prior notice. �/ Signature: 1(-ix sz., . _ ,{. _:-7-c.cc_.ti Date: .. ,c1( /' `'7 'he action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or ndangered 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 srmit 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 lion(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual id non-transferable respon ibility for adhering to/and cojnplying with the ESA. The Applicant has read this disclaihrjer and signs and dates it below. � )nature: t�- '. J-iL,:..--,_ .�,, Date: .3/ l/D ermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • --- BUILDER STATEMENT Alk. 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: :CGq JosMVot EaS le.y, `Tlna (-lowLewockte1 (34o ) ;71 • 3799 (34a ) '775• fe,9z MAILING ADDRESS: 20 ; 3 $ kg.r• Pt.(w M S 4-- EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: K 0 •1 g W h 941 E i4 NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: [i Sewer ❑ Addition ❑ Steel Proposed: Bank [_1 Community System [1 Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System Ll Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 11 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. t Square Footage Current Proposed For Office Use Only. � , nt R�' sf„ . Main Floor Heated EH Bld App Review: A q 2' Floor Heated Consistency Review: Qf n Other Heated Base fee: 1 OC--)) t J t Mezzanine Additional Section: —.....--- Heated Basement Plan Check fee: S 1 I L) I Unheated Basement State Surcharge fee: ,{ Other Unheated Pot Water Review fee: A Garage/Carport SUBTOTAL .-,` Decks �O 911/Rd Approach fee: 6 Other TOTAL: $ C1 I I. i Receipt Number: q-Bel I Cash/Check Number: VO ESTIMATED-COST- ,EQUIRED) Date: 1 ,� of ' et value of-all lab nd materials foundation to finish $ 5 2 .7 Initials: ( ---D G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc O Ec t< D F $ e q N E Y c 5 r N & Fe R J_ A N t T Fit ct-t wt •ti N� e 9 r i�t rD Gt. 0 R . P o iz Y ro W IJ S CND •(eLIPE GcSoretkE VILA-A-GE) eSsb364b 6 y co r t R ever e R O C I-L U 4 E r4s C. E 1C D• 8 . Dv. . T ii Ke, a '.vo t2. k f 12, 2 b Sa 3 5 b c F/e ut a**" S 1t oc-r rD Lk/NS £. tib WA- e at) ?sG $ •ice et of, wo c lc ro a t rP a K 1. 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