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Home My WebLink AboutBLD2007-00595 4UILDING PERMIT APPLICAAN BRLD07N005595 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00595 Received Date: 12/6/2007 SITE ADDRESS: 20 FORESTER LN PORT LUDLOW, 98365 OWNER: DOUGLAS A HUBER PHONE: 360-437-0327 20 FORESTER LN PORT LUDLOW WA 983659628 PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603140 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-7119 6727 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License SCHWECI001BG Expires 1/11/2008 REPRESENTATIVE: GREGOV ARCHITECTS PHONE: (360)437-7629 62 KELLER LN PORT LUDLOW WA 98365 PROJECT DESCRIPTIOr NO MLA REQ'D -ADD 2 COVERED PORCH/AWNINGS & TRELIS OVER EXISTING CONCRETE SLABS TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,500.00 ADD'L: HEAT TYPE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 90 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: oZl (Q I 0, Type Amount Paid Bv: Date: Receipt: Approved/Date Plan Check $72.31 CJZ 12/06/07 95513 APPROV i State Building Code $4.50 CJZ 12/06/07 95513 Permit $111.25 CJZ 12/06/07 95513 JAN 2Q08 Total: $188.06 Jefferson County Planning &Building Department • Jefferson County Building Division Permit Null: BLD07-00595 Applicant: HUBER BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 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 clay'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 Foundation Footing // 1/ �'l Framing A `ev FINAL INSPECTION 1/51(,e FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR le,-" oiv c...., JEFFERSORISOUNTY 411 r4 \ ra DEPARTMENT OF COMMUNITY DEVELOPMENT idipiL` '-4 621 Sheridan Street • Port Townsend •Washington 98368 , - _ __ 360/379-4450 • 360/379-4451 Fax .q �pP. www.co.jefferson.wa.us/commdevelopmentsINO - _ _Master Permit Application MLA: DEC - 5 2001 Project Description (include separate sheels as necessary): Cole. pogo/(- 1E6L1 ' F2 A'r pd ect9- ---__L Y Tax Parcel Property ,., N f Number: '790• tioo3 • /4 0 Size: (acres/square feet) Site Address and/or Directions to Property: 20 Fo2ESTE-R._ (.ANC Poser LUD C.OW, 1�3 65- Property Owner(s)of Record: AO0G643 ,. I,b JUL/6 11f0f3E12_ Telephone: (3tioo) 437--0327 Fax: email: Mailing Address: Applicant/Agent(if different from owner): GZEGOV AQc///j cT Telephone:(3ti3O) 43 7• 7.62.I Fax: email: Mailing Address: 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 0 Modular 0 Special Use(Essential Public Facilities)** O Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** O Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry ❑ 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** 0 Stormwater Management 0 Shoreline Management Substantial Development** O 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: _,5 -75DESIGNATION OF AGENT I hereby designate GtE ".4l'(1 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE �J ,..-t—...-eyk Date: S Pew O 7 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 time of the a ion that he pr she wants prior notice. •) Signature: 'Ju(�j'�(- r7- Date: S P�cC 1 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 Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe responsibilit for a_ hen nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 0-4- Date: .-5' 'Peec 7 I G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.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: GEN ONT CTOR OR MANUFACTURED INSTALLF(2: �( * PHONE: FAX: RS\x'u-c (, 1. ,:ka`u‘ (P ) ( ) • i EMAIL: CONTRACTOR'S LICENSE . PLAINS NUMBER: �,i 1� tA,�UMBER ARCHITECT/ENGINEER: GEGC,pt//4/12L'yff f' L ` PHONE (36U ) 437 76Ze, FAX: ( ) MAILING ADDRESS: _i t_LA'. IcoET 1.4.1 pu)tv, q&3 65"EWp&. Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Li New Wood Existing: L_1 Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Alteration/Remodel Li Concrete Total: Height: ❑ Individual System El Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: [I 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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: IV k 2"d Floor Heated Consistency Review: /JA" Other Heated Base fee: lit. Mezzanine Additional Section: Heated Basement Plan Check fee: 1 1. " Unheated Basement State Surcharge fee: — -( r r' 1. Yy Other Unheated Pot Water Review fee: 1Ni Garage/Carport SUBTOTAL Decks7 11/Rd Approach fee: ,--- I----- >q5k1`i Other Co\) la\Z. �' ' t� TOTAL: ' �� 2` "�p 1- k- Receipt Number: CI 5 5 l 3 Co4er Cash/Check Number: ESTIMATE COST(REQUIRED) Date: tal51 01 •Fa' arket value of all labor and ma c-=- oun.a • •finish 3 iC G w 500 ECnitia : 2007 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc Adjusted Boundary per deed recorded under Auditor's rile No. 429505 original platted lot line LEGAL DESCRIPTION Lot 140, Area 3, Port Ludlow No. 2, per Volume 5 of Plats, Page; 41-48, records of Jefferson County, Washington; ALSO that portion of Lot 141, said plat, described as follows: Beginning at the caste, lyurost corner of said lot, thence along the mrugin of Forester Lane along a 45.00 foot radius curve to dre lef�, the center of which bears South 41 °55'06" East, having a central angl: of 1719'15" and an arc distance of 13.60 feet; thence North 75°28'2 1" West 46.58 feet; thence North 87°22'57" West 116.47 feet to a pent un the northwesterly limits of said lot; thence North 36"44 24" E; 105.93 feet to the northerlymost corner thereof; thence South 38' 52'07" East along die northerly limits thereof 100.00 feet; thence South 72°50'29" East along the northerly limits thereof 45.98 feet to the True Point of Beginning. �paCE C7 A-r 7�D. E"X/S - •.r ,vtyv cp c, sL. Lob Y, - EXIS.T[Nd / HODS h f \ LOT 110 LOT 140 TAX-A,PCEL KO, 969603 cove, se4s -A-r HUBER Ilk RESIDENCE REMODEL 20 FORESTER LANE PORT LUDLOW, WASHINGTON GRE(iOV ARCHITECTS 62 KELLER LANE PORT LUDLOW, VIA 98365 IE�/Fry;: 360 437 7629 4732 REGISTEREJ ARCHITECT Q (3 LIDIIA GREGOm STATE OF WASHINGTON DATE ITEM -- DEC - 5 2007 _lj SHEET TITLE SITE PLAN SCALE 20' SHEET G=2