HomeMy WebLinkAboutBLD2008-00047 •UILDING PERMIT APPLICAN BLD08-00047
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00047 Received Date: 2/7/2008
SITE ADDRESS: 461 HIDDEN TRAILS RD
PORT TOWNSEND, 98368
OWNER: JAN PIERSON PHONE: 360-385-7048
PO BOX 1153
PORT TOWNSEND WA 983680953
THE AL WEISENBURGER SHORT PLAT
SUBDIVISION: Block: Lot: 2+
PARCEL NUMBER: 001083011 Section: 8 Township: 30 N Range: 01 W
CONTRACTOR ;���0 :Lk PHONE:PHONE: �24
6) ' Contractor's License Expires 19.103,21110
REPRESENTATIVE: JIM JACKSON PHONE: 360-643-1169
211 TAYLOR ST#35B
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOI ADDITION & REMODEL TO EXISTING FIRE DAMAGED SFR - NOT
OUTSIDE EXISTING FOOTPRINT
(NO MLA REQ'D)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 134,430.00 ADD'L: 330 HEAT TYPE: PRO
CODE EDITION: 2006 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: OTHER
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 $1,189.75 LYK 02/07/08 95911 �������
Plan Check $773.34 LYK 02/07/08 95911
r
State Building Code $4.50 LYK 02/07/08 95911 MAR,3
1001
Total: $1,967.59
Jefferson County Planning
&Building Department
• 410
CONDITIONS for Building Permit# :BLD08-00047
1.) A MINIMUM OF 2' MUST BE MAINTAINED BETWEEN DECK PIER BLOCK FOOTING
AND EDGE OF SEPTIC TANK.
2.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS,
STATE AND LOCAL CODE.
3.) ACCESS TO INLET OF SEPTIC TANK MUST BE PROVIDED. RECOMMEND REPAIR
OF SEPTIC TANK INLET BAFFLE.
rr Jefferson County Building Division Permit Number: BLD08-00047
Applicant: PIERSON
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 than 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
Foundation Footing ¶2
Under Floor Framing 3 - 141,6g
8Y
Rough-in Plumbing 1.0
Airseal ' O.
„O./
Insulation:Walls �(�'�t
Insulation: Floors 7 q(t c c'(12
Insulation:Ceiling & F 19 FizrAyr .5-ta2r.f A Qail OK c!/Dg•
6�
Int. Shear Wall Nailing
Wallboard Nailing 2 'fw"-f/ !=►2.c44;.
Heat/Chimney Clearance •
Wood/Pellet Stove
t/°u' PowAts AI-STALL- rEG rAL- g 6 Cam- Det'r N
Jul Nes d
Err 5NEA,a 4/t/ad 1 D�
FoAmoc 44/4s e5iiv Ledre6.4-"ez-
6
lArr ecepituo LA45 440.' ,15/
ilypiepot itg4t5 z/i /ab fr
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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.�4 \JEFFERSO UNTY
•
al '\g ,. DEPARTMENT CrCOMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
,ys 4INdC9 www.co.jefferson.wa.us/commdevelopment
Master Permit Application n �
MLA: I'Y -G -0
Project Description (include separate sheets as necessary): 3305E 61.09E.D 4-0 24-4 0002 No C t+Pc 06E T-0
REBU I t_D 1 i- TE2 FIRE DA-M A(,E. TO Etst[N RCSt 0ENCE - n((5ruu5 Fao-FPar
Tax Parcel �.
Number: 1 Og 3 O 1 I �'`� roSize:-3 b�f V50,
Q I.c8,go0 sF (acres/square feet)
Site Address and/or Directions to Property:
L.M. 4-ktDDEN Te-atLS RD FEB 0 7 2008
Property Owner(s)of Record: 3-AN P IER5O.\
Telephone: 385-9-0�g Fax: 4...Fr1RS N N1' _CD —
Mailing Address:
p 17 _�,t� , email:
t •O, Box I L',3 TORT -row Nis END, wit- q`13,69
Applicant/Agent(if different from owner): Slu,n 3ALkS0t-1
Telephone: 3LU. COy3" tl6q Fax: email: —11x4 ade--96
Mailing Address: 2-11 Tel 6 L. 5+ • #35"F5 (PT WA- ct9 36$; b .cavvk
What kind of Permit?(Check each box that applies
Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
XSingle Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities)**
❑ Commercial* ❑ Boundary Line Adjustment
O Change of Use ❑ Short Plat**
❑ Address 0 Road Approach ❑ Binding Site Plan**
O Home Business ❑ Cottagelndustry 0 Long Plat**
O 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 ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance
❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 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:
DESIGNATION OF AGENT
I hereby designate 1r''t 500 to act as my agent in matters relating to thi a plication for permit(s).
OWNER SIGNATURE Date: Z 6f.`-.�
By signing this application fo ,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 late ins ections. Staffs access and right of en will be as,surped unless the applicant inf rm the County in writing at the
time of the ap`pllication t t e orshe wants prior notice. Z(4 (0 C
Signature: 1� �— Date: 6 0
The action or actions Applicant will undertake as a resul 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 c mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable'respq sibility for adhering to and complying with the ESA. The Applicant has read this disclai r a d signs and dates it below.
Signature: ff Date: � �t73
I
G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2000.doc
0 BUILDER STATEMENT IP
The signer of this statement does hereby certif)'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: N r/t Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
j(244, oN 1,uAct1ts 1 56ttd.-ioNS ITN , (36u) 38-5-4424 (36° )385'-4148q
MAILING ADDRESS: 'IA ii 4L0I2-S.-t- 4 3S'B EMAIL „?'I N43.ty 1F "-SOKI OL`/peN _cc*/
CONTRACTOR'SP°\LICENSE 1-1-Ou-WSl `' rw.t} Gig 36$ WAINS
NUMBER: 'Sick-CV. 95 C,it` BE NUMBER
ARCHITECT/ENGINEER: •TAdw14kQAqi14.1 '3 - 1�- �p.L PHONE ("N7L)) 3S,s_1i FAX: ( )
Ni
MAILING ADDRESS: t7,0 S�7J ��0�4 -L Kt 1 5 tt93 EMAIL
Project Type: Frame Type: ',Bathrooms: Shoreline: Tvoe of Sewage Disposal:
i New X Wood Existing: a. a Sewer
Li Addition [I Steel Proposed: - Bank Li Community System
X Alteration/Remodel Ci Concrete Total: 2 Height: 'Individual System
❑ Repair Li Masonry SEP Permit# 8(-06 l3-Co
❑ Demolition Li Other: Bedrooms: Water Supply:
Existing: 2- Setback: , Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
FROG,4NE s E.1Eat Ltc. Total: 3 . Name of System: WEt5E 4B4u-en-
mat\- 11-k - tki°DENTRaiL5
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 beinq 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 q03 - EH Bld App Review: l D, 00
2fd Floor Heated Consistency Review: /
408 4- 33o <9a `a1,11C
Other Heated _ ) Base fee:
— 1 l f 8G'75
Mezzanine Additional Section: ` O_l
Heated Basement Plan Check fee:
Unheated Basement _ - State Surcharge fee: 4 CEO
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL I,l(.41 (Po%000.k) o 031. 5(�1
Decks \ 911/Rd Approach fee:
44U 9p(fUo Woa.>G\ tiUs 4-In
Other JJJ TOTAL: $ a p� S
Receipt Number: A ' I I I I
Cash/Check Number: �Qjn
'" 1
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all trials foundation to finish ( TL
t 1
3ji-k 3o oo Initials: . /�
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