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BLD2008-00057
BUILDING PERMIT APPLICA 1 IN ML vy 053 Review T Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00057 Received Date: 2/12/2008 SITE ADDRESS: 140 LAUREL ST PORT HADLOCK, 98339 OWNER: WILLIAM M OLSON PHONE: 360-379-6864 E BROOKS MC MILLAN 1504 W ST PORT TOWNSEND WA 98368271.5 PORTAGE BAY PARK SUBDIVISION: Block: Lot: 19-20 PARCEL NUMBER: 989100014 Section: 1 Township: 29 N Range: 01 W CONTRACTOR: QED BUILDERS INCORPORATED PHONE: (360)385-5743 630 CASS STREET PORT TOWNSEND WA 98368 Contractor's License QEDBUL*043D1 Expires 9/14/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW SFR W/A/G 500 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,143 VALUATION 310,000.00 ADD'L: 486 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 432 #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 195 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: Do Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,169.75 CJZ 02/11/08 95795 APPROVED 'P�Plan Check $1,410.34 CJZ 02/11/08 95795 a , State Building Code $4.50 CJZ 02/11/08 95795 8 2008 Potable Water Application $59.00 CJZ 02/11/08 95795 Total: $3,643.59 Jefferson County Planning, (.,j & Building Departure►,+ Jefferson County Buildinivision Permit S,ber: BLD08-00057 Applicant: OLSON 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 Setbacks 4-2A4 P9 Erosion Control Foundation Footing L\ 3 O(Qs 94. f f Cn� # ' e ' P457�� 137GA111DEL rL K.< IJUT�Nk i(& R Footing Drains pvC r`rC PZ4 iAK /)(C fedr ke7Em l9KMP AATE2 Ch1/ 9fr Foundation Stem Wall 5/6/0b OK Underground Plumbing Under Floor Framing Straps(hold downs) c xT ELic,: 1r,Zl9VS t7z /G,cj i,/ Ext. Shear Wall Nailing Rough-in Plumbing c //CY' Framing /��� G r� LETS "tNeu rW-OS MT-6 REAM 018GIW PAr;1_4 _/. %/ , Blocking Airseal .( Insulation:Walls 2�` % Vy Insulation: Floors Z-t -(}9d Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing .11_1 c frq Gas Line: Interior A-70 41 P6_ Gas Line: Exterior 1,-^b�O1/ fAy Propane Tank ,P( '1 "1 1 c-07 Heat/Chimney Clearance MOB 1.4k Drywell/Alt Drainage SUMP r4Ar" F*‘D1441133 2u1 ." FaE,tsl" �wu 'Pitt BID c a.uspaa1 FILGWCA bzwtI I►ssTAu r,>(I 35')0 FJ I •S.LJ Cm� Address Posted /� S/�i((E Q FINAL INSPECTION FINAL INSPECTIONLMUST BE APPROVED F'RIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD08-00057 1.) PRIOR TO OCCUPANCY, REMOVAL OF THE EXISTING RESIDENCE AND FINAL APPROVAL OF SEPTIC SEP06-00228 ARE REQUIRED. 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.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage)yards. In no case, shall any such junk motor vehicles be stored in a critical area. 6.) A minimum of two (2) on-site parking spaces shall be proviced for the single family residence. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Building Setback from Laurel St. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. k..4 ON c 146' JEFFERSOl RUNTY . W g,� DEPARTMENT OF COMMUNITY DEVELOFRMENT . ~' 4 ` 1. 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 •• 360/379-4451 Fax r- -- qS, NO,,o www.co.jefferson.wa.us/commdevelopment EB i 1 2008 0 --h3 Master Permit Application MLA: Project Description(include separate sheets as necessary): . 34rili1 a iiel✓ .5!LI/e P'apvit/r Aonie Tax Parcel Property Number: 98 9/(5 OD/r _ Size: 20 0 171 D <„-r-t- (acres/square feet) Site Address and/or Directions to Property: /90 Law-el , 71-A-ee i tort- lJcd/ock, v,4 1.33? Property Owner(s)of Record: L&"il//am `f1, O/spot c,ai d _�. L5 ropkc !/L1e1N1//f j Telephone: (S 60) 73 7?- 6 R6`7 Fax: (360) 37?-6e7 email:Fritz-�a Incivn t�f!% 1'oh•6Yti1 Mailing Address: /Sri/ ``(A)" s-f�Oef /Port' T,1ktce d 1 (JAI 9�36S ! �[ Applicant/Agent(if different from owner): WA Telephone: 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] ** V Single Family 0 Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑Home Business 0 Cottagelndustry 0 Long Plat** 0 Propane ❑ 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 ❑ 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 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 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 application th t-Pfe or she wants prior e. ,/ Signature: Date: A— Z7 -Q.57 The action or actions Applicant will undertake as a result of the issuance of this perrnr: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-transferable r ponsibility r adherin to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 7 —2 —0,F 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: QED &tiItlerS (360) 301 - 28O2 (36) )3? S _S 3 MAILING ADDRESS: U < ` EMAIL. i9: ^ k_c r' b 0 J S Q l / b m a 6 I CONTRACTOR'S LICENSE WAINS NUMBER: 0 --r Iy� (A k,) 0 1-/., _f) ) NUMBER 7 ARCHITECT/ENGINEER: i"TDu P Ey /eiee/"in H� L. PHONE (253)867-�5FAx: (253)gs -7s77 -MAILING ADDRESS: 260/ j AveMc)StG- Al EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: k New dQ Wood Existing: -1:3— ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: jc Individual System ❑ Repair ❑ Masonry SEP Permit# SE PO6-Oo22g Demolition ❑ Other: Bedrooms: Water Supply: Existing: d Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 2 & Public n.1, HL Total: 2 Name of System: P(Ai-) 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: l Underground Tank I Above ground Tank. Size of Propane Tank: 561", l Heat Stove l Cook Stove l Woodstove l Fireplace Insert 1 H• ater T.• I Pellet Stove I Other Is this appliance being installed in a Manufactured I Mobile Home? Yes /0 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 I ( 43 10Si r „. EH Bld App Review:jpa r D 2"a Floor Heated �5 2S op Consistency Review: 5 r • Other Heated WA Base fee: a I/ Mezzanine j/A Additional Section: Heated BasementA Plan Check fee: I ^ to • 3 Unheated Basement y32 6 480 State Surcharge fee: � 50 + Other Unheated ,A Pot Water Review fee: Garage/Carport '32� n/�� SUBTOTAL e �5 pi Decks I v l O 911/Rd Approach fee: /-�xIS �� �► ow at QS ,�11. L h Other (141 I-I PW-e 3q NA -1 TOTAL: $ C. �I I(e(cz oc. Receipt Number: O,t '"C� r Cash/Check Number: r-1 X ESTIMATED COS-TlREQUIRED) Date: Q I i I n'' •Fair ma I ue of all labor and materials foundltion to finish 3f0G�,� Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc o !Itl 2i9 b VM �uaaumu�, ;aid 6££86 VM `�[aoiPnH h od ` \- 1aai2S «M„ SOS t aaai3S iazny-T OAT o co 71 96£9-10£ (09£) - uosi0 XinW ueiii ow/uosiO L ci 0o (j 0,, r 2'- �`j- gib"' / -6' rf'' �/ l0rr .,, 7,r z, 7,r 2'-,Z r%z" 2 n /' 5% /.. ,.., r w --- -- 2—I1L,.:_,,. ,I_-: W 0 72 • ,- 1 L- i `� /0?' /,(Q ) ( lii ) ( //: ;'"ailii‘ T1 .__ ,, (----, ,le , ,,,, yy u _ " P"R.Imo— . 5—�'�n� i •4•' k 113 r x, e�,„ q i ;2 71 1 , ..„ •.. 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