HomeMy WebLinkAboutBLD2008-00074 • BLD08-00074
BUILDING PERMIT APPLICAAN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00074 Received Date: 2/22/2008
SITE ADDRESS: 90 ADMIRALTY LN 346
PORT LUDLOW, 98365
OWNER: STEVE P GROSS PHONE: (360)437-5110
90 ADMIRALTY LN UNIT 346
PORT LUDLOW WA 98365-9747
THE ADMIRALTY#2
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990300216 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION ADD NEW WINDOW TO LIVING ROOM - NO MLA REQ'D
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 2,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Cq 5 1 f)(1 ,
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $69.25 KAS 02/22/08 95846 APPROJED
Plan Check $45.01 KAS 02/22/08 95846
State Building Code $4.50 KAS 02/22/08 95846 FEB 2008
Total: $118.76
Jefferson County Planning
& Buildina Department
Jefferson County Building Div'lon Permit Numi BLD08-00074
Applicant: GROSS
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 54/66
f Qk
FINAL INSPECTION _0/49
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
.- .. RECEIVED
..
c• .. JEFFERS COUNTY
L; DEPARTMENT OF COMMUNITY DEVELOPMENT FEB 2 2 2008
: 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
:� r www.co.jefferson.wa.usicommdevelopment JEFFERSON GURNEY GCij
it l-c, 7 -
Master Permit Application MLA: NO t ti‘- E Q( D
Project Description(include separat sheets as necessary : i
Tax Parcel /` 0 •�/n� �/ • Property
Number: l 0v C1(J € Y Size: (acres/square feet)
Site Address and/or Directions to Property: /MN.
`71 0Ad AA c t L—r1 S V C, Po(I L-l� (o .)
Property Owner(s)of Record: —TN) /!or
Telephone: `t 7 ' '--1 Fax l(0 o Cecio O% i--- email: I r , ^ l v:‘)
Mailing Address: 5 A ine c A ® 0'tie IjeAL
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address.
WJ7at kind of Permit?(Check each box that applies
Building ❑Variance (Minor. Major or Reasonable Economic Use)
0 Demolition Permit 0 Conditional Use[C(a). C(d). or C)**
0 Single Family 0 Garage Attached i 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 ❑ Road Approach 0 Binding Site Plan **
❑ Home Business 0 Cottagelndustry 0 Long Piat**
❑Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation;Alteration **
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program ExemptioniPermit Revisions*'
❑Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive PlaniUDClLand Use District Map Amendment
❑Wireless Telecommunication * ❑ Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratonum 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 ana 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:+i th respect to this application packet
may result in this permit being nu/ana voa
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 a• .t Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide acc- s ana r ".of- try to Jefferson County and its employees representatives or agents for the soie purpose of application
review and any required late . - .ifs access and right of entry will be assumed unless the applicant informs the C unty in writing at the
time of the appiicaton that; - - - is p or notce
Signature: l� Date: 2/0 "
The action or actions Ap• scant wili undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species an, could lead to a potential : e"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species •ct"or"ESA."Jefferson Co makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not vioiat- the ESA. a;viduai.group or agency can file a lawsuit on behalf of an endangered species regarding your
actions)even if you are in compiiank✓ith the J. - •n County development code The Applicant acknowledges that,he.she or it holds individual
and non-transferable responsibilit' • - -- •• t• - • complying with the ESA. The Applicant has read this dish}iaimm r andD i n and dates it below.
Signature: Date: �' / Y
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BUILDER STATEMENT
The signer of this statement does he'-• ce -t they are the Owners of the parcel referenced herein.that they are not licensed contractors and that
they will be assuming the responsib I- -ral Contractor for the proposed project.
Signature: Iraq L,A& Date: Oy
v
GENERAL CONTRACTOR OR 'r ANUFACT - D 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: •
X. New (A) 11 Jp OW _ Wood Existing: Sewer
Addition Steel Proposed: Bank L Community System
_ Alteration/Remodel Li Concrete Total: Height: _ Individual System
_ Repair u Masonry SEP Permit#
_ Demolition u Other: Bedrooms: Water Supply:
Existing: Setback: � Private well i Two Party
Type of Heat: Proposed: 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:
❑Underground Tank °Above ground Tank Size of Propane Tank:
El Heat Stove CI Cook Stove ❑Woodstove 0 Fireplace Insert ❑Hot Water Tank 0 Pellet Stove ❑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:
2`2 Floor Heated Consistency Review:
Other Heated F CEI1EUase fee: 6n
Mezzanine Additional Section:
__-__—_ 1
Heated Basement FEB 2 2 2008 Plan Check fee: 45. D
Unheated Basement State Surcharge fee: 4.
Other Unheated RI-rrEli��n. CO DCttPot Water Review fee: 50
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL: $ l l% L Co
Receipt Number: �3 O 4 0
Cash/Check Number: r^3a
a
ESTIMATED COST(REQUIRED) Date: 10S
•Fair market value of all labor a terials founda?lan to finis
2-000 Initials:
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BUILDING PLAN REVIEW
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Contact the Building Department k*IiT 31,41
at 379-4450 prior to making changes -
or revisions to the approved plans 0 r - Q ® '''• =t
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i BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD08-00074 Received Date: 2/22/2008
SITE ADDRESS: 90 ADMIRALTY LN 346 Issue Date 2/27/2008
PORT LUDLOW, 98365 Expiration Date 2/27/2009
OWNER: STEVE P GROSS PHONE: (360)437-5110
90 ADMIRALTY LN UNIT 346
PORT LUDLOW WA 98365-9747
THE ADMIRALTY#2
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990300216 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: ADD NEW WINDOW TO LIVING ROOM - NO MLA REQ'D
TYPE OF WORK NON SQUARE FOOTAGE
TYPE OF IMP ALT MAIN:
VALUATION 2,000.00 ADD'L: HEAT TYPE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: _
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $69.25 KAS 02/22/08 95846
Exist: Exist: Plan Check $45.01 KAS 02/22/08 95846
Prop: Prop: State Building Code $4.50 KAS 02/22/08 95846
Total: Total. Total: $118.76
Directions to Site:
MARINE VIEW AT OAK BAY RD BY BEACH CLUB
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY