HomeMy WebLinkAboutBLD2008-00052 •UILDING PERMIT APPLICAIN BL Revviewiew T Tyy052
pe:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00052 Received Date: 2/8/2008
SITE ADDRESS: 1361 LINGER LONGER RD
QUILCENE, 98376
OWNER: ROBERT STEAD PHONE: (253) 927-1441
DELORES STEAD
29852 MARINE VIEW DR SW
FEDERAL WAY WA 98023-3422
SUBDIVISION: Block: Lot: T 21+
PARCEL NUMBER: 702251015 Section: 25 Township: 27 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION INTERIOR REMODEL - NO ADDT'L BDRMS OR BATHS, EXISTING
FOOTPRINT
ALSO A/G 500 GAL PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 25,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0 Prop: 0
Total: 3 Total: 2
Routing Date:
a l g iO1I1c e
Type Amount Paid Bv: Date: Receipt: Approved/Date
Propane Tanks/Stoves $157.00 KAS 02/08/08 95828 APPROVED
Permit $391.25 KAS 02/08/08 95828
Plan Check $254.31 KAS 02/08/08 95828 FEBI 2008
State Building Code $4.50 KAS 02/08/08 95828
Total: $807.06 Jefferson County Planninc
& Building Deaartment
Jefferson County Building DI�Jfsion Permit Null: BLD08-00052
Applicant: STEAD
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 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
Framing 02/rt
Heat/Chimney Clearance 02/0g it
/Arrekfiog- 97-013 '
19,e4P9i0b /A/0< i z /,g
Are �
/ /
AiLYZ Arrie'/°, 4/7 6A 77
FINAL INSPECTION v1z(eQ> !n �K ir�r tl J
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
r
g / c°�,� JEFFERSOSOUNTY • ��
W \� ,,4 DEPARTMENT OF COMMUNITY DEVELOPMENT
~' '' 621 Sheridan Street • Port Townsend •Washington 98368 FEB - 8 2up08
360/379-4450 • 360/379-4451 Fax
�.gs NO(C° www.co.jefferson.wa.us/commdevelopment
JEffEMON COUNTY DO
Master Permit Application MLA: ND 14 Lq aR.EQtD
Project Description (include separate sheets as necessary): 6v.1S,rl rvct i-p R)hr-
1-D.7t'V17.1 nR I�:E1rnoD t t i P tX L x ms an ►i4 -Ncsr O1/7S►OE
Tax Parcel Property
Number: 10 a a 5 -� 1 0 15 Size: L •'3 c isquare feet)
Site Address and/or Directions to Property:
I iot Lk YZ. Lnh7Ui�1tZ V. D , 0,0, L-CEV3 ) LJW
Property Owner(s)of Record: go f3zrz "T ,- .1.. ..z. STE-c c
Telephone: c9 5 3 9,;71 - I A L` 1 Fax: a ,c--3 '// /3 izprnail: 0-2.7-Y'i'l.l t/r etei 413 el-
Mailing Address: 2 1(5 1.5 a__ AlVei r i Nc_. `)idJ7 kr,t ,. ... (be Cr.1<_
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
)ilBuilding 0 Variance(Minor, Major or Reasonable Economic Use)
0 Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
❑ Single Family•-Reti,op=i Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 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**
16❑ Home Business 0 Cottagelndustry ID 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**
0 Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance
❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 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 lc 2 .33Z I
I hereby designate t- 7.4:4e—ZT1-1 S If- to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date: .-g- -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 requir ter inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli ' n, she w tS p' noti
Signature: ", U,e
Date: -
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-transf• -. k•• ibi•' h ' g to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: `� / Date: ,2CQ_ C
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 assu ,sponsibility of iyi -neral Contractor for the proposed project.•Signature:
° �� ��j+ ..) Date: 5
d
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: 7 ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
'Alteration/Remodel ❑ Concrete Total: ea Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
Li Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 3 Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
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:
i Underground Tank i Above ground Tank. Size of Propane Tank: c,r)0 c>Ei,,
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 / to
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:
iooO
2n0 Floor Heated Consistency Review:
Other Heated Base fee:
Vr( n2, l5-1-
ciD
Mezzanine r ,) Add:
'OCAS FX2 e— 3 a I . a5
Heated Basement Plan Check fee: aJ4. t
++fi�n- I
Unheated Basement State Surcharge fee: rl •50
Other Unheated Pot Water Review fee: `t
Garage/Carport SUBTOTAL 8a`�. bcp
3 L.,J
Decks U141Rd ApprOctCh fee.
COV(eit) a. '5
Other TOTAL: $ cq, Q I
Receipt Number: q 5 s D O
Cash/Check Number: VI
Sii
ESTIMATED COST(REQUIRED) Date: p 6�
•Fair market ue-of aLUatLr and materials foundation to finish o
Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
al
.4E:1A! d
N r pS1
otlfld - 4.r0'
•
cio
0/Z Ss�»y/M
1 i\j"-/ ‘ . ' '41 ' L'' - I tAi
i
,i
•
,, e„ 7------7-----\, ,
I , ------------TL
i ii
--i
i k
,:
' kiii . 1 ,
:4'
il 7';,111.
•+r4:74. --47:4‘ . . ::Al,1\''
i ' '-----r_t...4 .
, : i .. NCIll' . .,_ 0
I- ...._,,_ .' ,/ .
o •
• ar:
r.-a co 0
0 CO - �/
�:� T. � �
,
t /
,
.
tri
��01/4 L
. a
p
/ - 1 - ,rot 8 . I q
I
• >4> , R�
•
3 V/1f7
Ili
.
. 'dam .
r,,,,,.,.,, ...W^ate
•
t'.. . . , -, , . . . - .. . -
P-7. •4 ..406,La4,...,/...
....,.'/........ri .r^.�.... ^."�^.'*` �y't+•-1k`}F/r:' tr,., aSr'dL H 3 „" _J: - ,
N f
N� ' tlt = fro t 'r' mo,<)•• p` " ' ' •1 • % ,o (51
�, N.
Ir
-. . 1~" �, •1 17Ei� ,4r ti { L-fi4 4" • v'n""4"*..,SN•s LIC%f."414.11r�{+0 .. . ''' . - �i}iit a y,,(p
'• + —..- �. ,,..,,..°.1„ .I ,. ,y i v1;9''.. ',�!'d�+.r�'�dPNf�".t�i ..Ar'.1�.aT,yl 1•^..-vp,,i6,40,.. ..-•,. , , ,"s y , ,„, a5i+4� . tis a. .,,, ,..
S , • j �.MOO } w, •�. oleo• . .. � s t -,,41" �L! '•
...
, ,.. ' .,illizp:40-41,...
. , ,
,,, (..,\.;
-,k,40. -
i i.7. . 4.
. pryµ.' VI E 4J ,7
/
• y!,, INi r jp 'F"trd ' i�^�4 � c Y f t. I.f
• .' ;---: __ .--�. :'arc I �O 1
q r • `.
•
f �� s�I l l� ky, ' it
+4r L� t. {ram irik o r. 1:k. . it*: ..'``t. "v
ti 'r.� Via. r ��
im
-. 'l'i$1
r
• :.Y ry ,; �,.,•• ,......,. -.,i�:. r _— -i.w+. 'Sz Y ,,. rr���,,�{{�,�.� lit.,...... ak:::riii� y�r,,�.
-r w+ 'r s •-.•'ts ^' - }+,.,r\, c ir, }.., '�'Q[ 4'Fr'N�''te9.•k.'�-.,..;,..„,..,,,t,„, _fill/4;T, , . .,,.,-., ,,,,,,k,,,--.,r .,iK f..„,t-ii,..!,. •.
I "I ' ' •1' l' '''' rir•-• ' .; ''' ' ' ' 4 1/4tr'',,i. ,41'N'A.; . ‘:i.''''..::,i''' ;.....tt:. ',..,;:-.::illefiltiiiii." j..j- +t, ,, . . :''''. ,'''....'• .',,,,,0', it',:4,, ••j'Z' , F.' ;rt.':
•
iffh, 4.•
Jt •1:1 NI. ,i a;' s 3 ?. dy 7,;1.../,,,111.-,!*.F1'1411.'
J �7 'l 15r I tis .T. `� a'P �*"'�'-. Y Fv - • . , $�.�ifd"'' ".�,�.Mt + ��i3' �1•� ♦ !;+ ' i",.�, ' ' / Y' / .. „_it '.:�- i � ..;{{ a,.kt 5 I ...
,. i"': ,r ,,1i�,.r. /yl,;1. ‘"
• aery s ` ^' ' ' .. , rr'r•( -i,r 1• i I t5,
n9 „,i+E. .:.f;?. {y. rT ° F it a . I$ . • t
ft cr q 5;,,,I�s:+. 3� // 4 ?,y `. .yf;�rJilr I �F;: +"�. - 1°° ra s i w it E fij % . t q„ , ,.. . la. y,.io / 'J: kE,ty... X 4?). } t 3,Z r } " i. 3'1 r < { I'.1•
I .� �'F!yy _' _ -. �-7•'� r'.r�4y�, ij' ` � xr,�+ dr i� '' � }.5� �x*d, r 1 g �.. ,"
' i !YM ', !4`, Li 6 ly I: ,• fw ham`• ° b t - '21iy I r + I,
f i i :� .::1_ !� Of}• I y T,t,: ttk ti ' i t uy Y it ` a' .4�
' r I L
','T' ,111 !y vim' . 1 Y�, Ctty� y, ".'' PP. VK !3i(r j +✓•' �. • NIWi ;1 f`t�:', h - '''', I►`� b?'.:11 l p,`y _ , i1 ii ,.:
'r tt J }}�_t !. 1 ---••� +4.', +.y yd4 .. 1— T s a� IJ ,,,*,...,,,,,,i..,. Si ` • y 4a $
..,. ,,,,,,,,
1 3 1 '..1, 1 ,S8' t t, _ Y. "� �yje 6 .. '. tr, Y'� fir:^ w - -./ .ry, ,y,,� '-„•. .� +'h-j ye;1•
�. ?*" r "t 1 ^. ,:1' ' y.Ii-?"r� ,, \ I \ `iyp
,., „ 1
itli
H
•( 9BB& ,d t^ `{tom I.,',-,
+ k '..�,"'±' �,y�5•��,:1• S,y i 4 ,.. till) - xs'y• et
", :�' . rT t . f•' ; I'a tIW' 5 J""""TYf�+Y L' •�? � • j SAnP
f y mod,, 'q,�.
- s" ,��7F+ 4 1 w•K,�T'}'t", "^ a �, k _ �.A.1�' I '+c rF' it,
f 0.1. ,r» 4
t .M I,
�' t '
.`r f r t, { e I t }1 ?rr4 ` tj.'S :a`ktiaol,�'�w":yr ,rt.•'. I ;.y�'.1;�' 1 -.Y ~
,t . 1,.i �`,. 4.yL"S 4 ili(`?;l.' wY;r 't"'r ';!i.f �'r4.r.:.'It Jl '511, a"'r J rM",,, i�. z Fri"'°. .— 1 �. c±i "I
�' •t ;y 447.fi`'•N- •/I/•f r / r k **'4x •,r ., . 1'-' •;, v..e r! ' I
1 1t1t -� ✓,;-�.........,r I •. �r dr'� ,.?l' +� h{i ' ry L,,t'. 1y �t l i • �` <-�
•
'dam' ,. 1 i:..., ! i0.•. 't!f 1 t,(4'.., +�4 e!.t3 i J u 5 I ti,, •! ; "� - •,.}.
•
r' 1 1- i 5':. I ' �'. j ,A •ivF1 } yr/ I, 3 i a 1. f • �� - •, �, . Y N 'r�,.•'.
•
'. .: '
' '• II
/ • ;_‘`i:.,,,,,..r....1:,4' . '. ' 1 '...rih,••.,
)3 ` '' }�:..+M o t,£ l 3 } ,tt r K � 't'.4'fr+'� 3 {f --4'f� .�
. l „5. I!t '; a t:K" <r' .8arrc;au -,t.iw., r '. f�ri..1,"f..`� • - ` .� ..%`.
dl^ t r 1 r {,� 't 4 Ip.A� All .F /' P ,,'.•'bA '�'e ,
` y' ,tr'�' t 1� ,t j,: f . + ' I Y. 1 •tr t 'f^
i wel.'.'•�.L I •
f - j ,..-' . .r/ �- {.. 4- t, 't { I• �•71 �111
j` i. f d of• t • y, r '.y 4+u. A., +,-�•� e, y �
t:t p `R Y r f 1 ... 1. •
.:' '' I ;.i-, r'r C3,--• h.'� ��„ _U"
1C'1 l:l:lF I, i'E ! , Yl t '.6.'c r1 • l '`1' ,�� I In
til
ter- j f .. j-I-,
F.1 sL'-.
1 , "� a "1' ra y .�y:� 'thy { } ' ["'!,n ,(,---, 1) sl' ..
,I °• F ?i t!. Y4+a e34# k .,- .fi A. F ;t i%a , �:/'., I .' j
t} �. °1'� I''f t r,. �t� '1;:+. I . " 2N, /,
L i atc :x 7r 1..\ per 4.k..,}.LR..�.. ' 1 ,.k--t-ti
J ' • Ji-y krr&•.0 :1... r [' »..r. -" 'F'" . .;•l•.-•' ' 4ig .' �`4 2`J?+l `�s'.''''' '-. lRl �e':�rdd.r. ..,11s F-S i b M
t ,� `` In _ '� x� A�t r•�1126 ri",e� .x1_ r �` 1