HomeMy WebLinkAboutBLD2008-00037 BUILDING PERMIT APPLICASN BLD08-00037
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00037 Received Date: 1/30/2008
SITE ADDRESS: 43 SEA VISTA PL
PORT LUDLOW, 98365
OWNER: DARCY R GARNEAU PHONE: 2068173585
WILLIAM D TARTER
1521 CHERRYLANE PL S
SEATTLE WA 981443528 TEAL LAKE VILLAGE
SUBDIVISION: Block: Lot: 32
PARCEL NUMBER: 998700032 Section: 21 Township: 28 N Range: 01 E
CONTRACTOR: TERHUNE CUSTOM HOMES PHONE: (360) 681-8898
PO BOX 3125
SEQUIM WA 98382
Contractor's License TERHUCH984MA Expires 7/1/2008
REPRESENTATIVE: TERHUNE CUSTOM HOMES PHONE: (360) 681-8898
PO BOX 3125
SEQUIM WA 98382
PROJECT DESCRIPTION Second floor above foyer (that was open to below), replaceing wood
fireplace w/ propane insert
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 0
VALUATION 20,000.00 ADD'L: 150 HEAT TYPE: PRO
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: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: i 120i0.2
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $321.05 CJZ 01/30/08 95780 APPRc /EED
Plan Check $208.81 CJZ 01/30/08 95780
State Building Code $4.50 CJZ 01/30/08 95780
Total: $534.36 FEB 53 7008
Jefferson County Planning
& Building Department
Jefferson County Building Dion Permit Nun.: BLD08-00037
Applicant: GARNEAU
BUILDING PERMIT INSPECTION APPROVALS applicable 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 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
Foundation Footing '/24P6
Framing /121/08
Gas Line: Interior 9/23/
Gas Line: Exterior 7
Heat/Chimney Clearance :i/tlia
Fireplace Insert #2-0t 2/
/�TSG(LAf1SL)
fkbrA `rANC C7/Ze/a3 4L
FINAL INSPECTION 9/;�'/g �/ ?�c�l ��/2z,p9
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
C%. JEFFERSON COUNTY
14 DEPARTMENT OF COMMUNITY DEVELOPMENT
rzi
`� 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450. 360/379-4451 Fax
www.co.jefferson.wa.us/com mdevelo pment
Master Permit Application MLA:
Project Description(include separate sheets as n cessary):4V e i?kcte-L ne t tnJ nc C\ {iv e Dlt.A t t v\Se t
IA-dd a l o-#- abav-e, +t)-t, WaS ape. \ r b IhQ otAl
Tax Parcel Property
Number: PtC9p '100 — O 52- Size: (acres/square feet)
Site Address and/or Directions to Property:
45 Sea U i6-4-cN P(ac.e. ` u 4- LL.LaLo u
Property Owner(s)of Record:r)(1Y1:`.� -ay M1.eAU St /6i I 1 T0.Y
Telephone:2O(o--g I'T- Fax: �t email:
Mailing Address:15Z( ri1P_Yr4 l (ne 'P1 • S• t l"11�/ L� c'
Applicant if different from own : `TOx le\Lt 1710 C Lt ,-'tT YY1 +-by-Yu c
Telephone: (c;i0 (D81—$861$ Fax: Cog1— email:
Mailing Address: ?•O-'p)C 317
What kind of Permit?(Check each box that applies
J Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit s 0 Conditional Use[C(a),C(d),or Cj**
kl 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**
❑ Address 0 Road Approach 0 Binding Site Plan**
❑Home Business 0 Cottagelndustry 0 Long Plat**
%Propane 0 Planned Rural Residential Development(PRRD)/Amendments""
❑Sign ❑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
0 Wireless Telecommunication* 0 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 attomey'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 appl . •n • -or be wants prior notice.
Signature:— !• L!'J Date: I'Zl—CD'LE
NI
The action or- `= s 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 i ....fiance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-t r-• .r_101 pon.'bil': for adhering to and complying with the ESA. The Applicant has read this disclaimer and signsand dates it below.
Signatu Date: 6"Zi
C:\Documents and Settings\canal\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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BUILDER STATEMENT
The sign this sta merit does y certify that th are the Own a part referenc rein,that y are ' nsed contracto rid that
they ' be assumi the res sibility of the Gener Contracto the propose roje
ignature: Dat .
GENERAL CONTRACTOR. PHONE: FAX:
TeX \U VIPRMRV7 RS7RD -�m ► --5
(P (081—E 393 $ 'E1=-acr i
MAILING ADDRESS: 'P_o . "bo 312S S Y WR cl8312
CNUMBER:O CTOR'S LICENSE
T2J VU-ke- C:AZUG vnC
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: r EMAIL
Project Type: Frame Type: Bathrooms: horeline: Type of Sewage Disposal:
New S Wood Existing: 2 I!7 pt Sewer
!4 Addition a Steel Proposed: B k u Community System
Alteration/Remodel a Concrete Total: 2.2(7 He ht: a Individual System
Repair a Masonry SEP Permit#
Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 2 Setb k: a Private well a Two Party
Type of Heat: Proposed: Public
e)<(5.-k-k 11161
Total: _z__ Name of System:
If this is a Commercial Project you r. st answer th-_..lit'T;in.:
Number of r• I • Spaces: •• en• Pr... ed: l umber of:e,- -arkin• paces:
Num. of oc ,pants • udes o • ants,emplo --s,etc ••rrent Propo -.
17 Occup- c • I= Type of construe io•• it you have Foo. :- ice? Yes / o
f this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
°Underground Tank tAAbove ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove)fj Fireplace Insert 0 Hot Water Tank
0 Pellet Stove 0 Other .
Is this appliance being installed in a Manufactured/Mobile Home? Yes / ly.
When applying fora 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:
O(1`Je•-00.-,(
Floor Heated C� Consistency Review: •}� (]
J� ibt-cw�tll'�c)W%. ht r. -;*C-C.4
Other Heated Base fee: V 3a1 p G3
Mezzanine Additional Section:
Heated Basement Plan Check fee: C)02 ca i
•
Unheated Basement State Surcharge fee: -<{ cad
Other Unheated Pot Water Review fee: l
Garage/Carport SUBTOTAL 53 4
Decks 911/Rd Approach fee: N A
Other TOTAL: $
Receipt Number: 9 5- n v
Cash/Check Number: ' .-Cl^—
ESTIMATED COST(REQUIRED) Date: f'17j)
air market value of all labor and materials foundation to finish 14 14 6
Lo °cc L Initials:
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc JAN 3 0 2008
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Sequim (360)681-8898 * 877-837-4863 * Fax (380)881-7399 1
Contractor Number:T 77- Www.t Faxc(380)681-73 net Drawn By: ERitter Upper Floor/New Loft Area
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Sequin (360)681-8898 * 877-837-4863 * Fax (360)681-7399
Contractor Number.TerhuCH984MA www.terhunecustomhomes.net Drawn By: LRitter Existing Main Floor Plan SHEET: 2 OF 4