HomeMy WebLinkAboutBLD2008-00142 •UILDING PERMIT APPLICA N BL Revviewiew T Tyy142
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00142 Received Date: 4/8/2008
SITE ADDRESS: 86 PARKVIEW LN
PORT LUDLOW, 98365
OWNER: ALAN J MINISH PHONE: (360)437-9174
JANE MINISH
86 PARKVIEW LN
PORT LUDLOW WA 98365-9718 BRIDGE VIEW ESTATE TR DIV II
SUBDIVISION: Block: Lot: 4+
PARCEL NUMBER: 821355016 Section: 35 Township: 28 N Range: 01 E
CONTRACTOR: KITCHEN & BATH STUDIO PHONE (360) 385-3443
SHELLY
2009 RTH ST, STE B
PORT TOWNSEND WA 98368
Contractor's License KITCHBS945\D Expires 8/18/2008
REPRESENTATIVE: KITCHEN & BATH STUDIO PHONE: (360) 385-3443
SHELLY (360) 385-5078
2009 4TH ST, STE B
PROJECT DESCRIPTION INTERIOR 1ST FLOOR BATHROOM REMODEL AND KITCHEN
REMODEL - NO MLA REQ'D
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 9,500.00 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:
4 \c tcB Cam.
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $181.25 KAS 04/08/08 97301 APPROVE ,
Plan Check $117.81 KAS 04/08/08 97301
State Building Code $4.50 KAS 04/08/08 97301 APR ? 2008
Total: $303.56
Jefferson County Plannin(
& Building Department
Jefferson County Building Dillon Permit Numi BLD08-00142
Applicant: MINISH
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Rough in Plumbing 5746 / T p
nown
Mechanical Systems
Miscellaneous SMOKE ALARMS
FINAL INSPECTION : / IC
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
Apr 07 08 05:40p PARKVIEW FI� ASSISTING, 360-437-9174 p.2
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' JEFFERSON COUNTY
` DEPARTMENT OF COMMUNITY DEVELOPMENT •
621 Sheridan Street•Port Townsend •Washington 98368 APR - 8 2008
4 fizINto 360/379-4450• 3601379.4451 Fax
www.o04etterSon.wa.us/comrndevelopm nt
JEfFEDTA CCuN1i DCD
Master Permit Application MLA:
Project rDesscrip ion(include separate sheets as�necesaary):
'CA- Q'0le— F-i. AO . `A W (!�Mb) I N61 11 � ribr4 ; "�'
Tax Parcel a z 2�5 014
Number7 Pr arty
— Six , •4 AicvCS . (acrea/square fast)
Site Address andror,Directions to Property: _.
SID PAi t&VIE W, LA'NE~ l Paf.'r L AraLU y./A 9f�ivy
Property Owner �,,$)of Record: A -/P*4 ,3 11/4111b4 1_n -} 1r,A!tl..l is,14
Telephone: 3iQ0 • 434-• 9[ Fax: tea•44, 'imp email:
Mailing Address: ego PA�f��sf1 6 L penal- UAotvoMV A_ gs1►5/0Ej
Applicant/Agent(if different from owner): K 111. +-Or
Telephone: d34ala *esS' a}4444} Fax_ Nob- 0E►5 - SPo'/-8 email' k► —1001-ilks
Mailing Address:Jj 4 r7* -1' _ p Q th‘lieerE 17 Yy /3 $ cii0.cps.
I What kind of Permit?(Check each box that applies `
9ullding 0 Variance(Minch, Major or Reasonable Economic Use)
O QemaNtion Permit 0 Conditional Use[C(a),C(d),or Cr"'
'Single Family C Garage Attached/Detached ❑Discretionary"D'or Unnamed Use Classification
O Manufactured Home D Modular Ci Spacial Uee(Essential Public Facilities)"
O Commercial a C2 Boundary Line Adjustment
0 Change of Use C Shod Plat"
❑ Address ❑Road Approach ❑ Binding Site Plan"
. Cl Home Bualhoss ❑Cottagelndustry 0 Long Plat"
0 Propane 0 Planned Rural Residential Development(PRRD)/Amendments`•
0 Sign D Plat Vacation/Afteration a'
CI Allowed"Yuu"Ut;s Consistency Analysis 0 Shoreline Master Program Exemption/Perreit Revision,••
❑Stormwater Management ❑Shoreline Management Substantial Development"
O Slta Plan Approval Advance Determination(SPAAD)" ❑ Shoreline Management Variance
0 Temporary Use 0 Comprehensive Plan/UDC/Land Uso District Map Amendment
0 V 1releae Telecommunication" ❑Jefferson County Shoreline Master Program Amendment
J Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request
"r►tity require a Pre-Appp'cyafouconference "'Requires aPre-AppucaffonConference
Please identify any other local,state or federal permits required for this proposal,it known:
DESIGNATION of AGENT
I hereby design o act as agent in matters relating g to this application for parmit(s).
/
OWNER Slaw► ' L t- '----7 / _ Data: V t1T -
"
Ely signing this appftcat0f ,tho owner nt attests eat the information provided herein,and In any attachments,Is true and correct to the best of
his,her or it's knowta ' . Any material falsehood or any omlrrJon of a materiel tact made by the ownerragent with respect to this upplicalion packet
may result In this permk being nub and va ld.
I hither agree to save,Indemnify and hold harmless Jefferson Courtly against oil liabilities,judgments,courtcata,reasonable attorney's fees and
expanses which may In any way accrue egalnet.tefferson County as a result of co:.in consequence of the granting of this pertrrlt.
I further agree to provide aocass and right at entry to Jefferson County and Its a mployees,representatives or agents for the sole purpose of application
review and any required later Inspections. Sien't access and right of entry will be assumed unless tee applicant inti mrs the County In writing at the
time of the application that he or she wants prior notice.
Signature LiSl 4C� Date' 1 ' • 1
r.— -
The action or actions Appliean will undertake as a result of the lapwanee 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 assureneeato the applicant that the action§that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group°regency in bite a lawsuit on behalf of an endangered r,-pecles regarding your
action(s)even Iryou are In compliance with the Jefferson County development code.The Applicant aclknowledgea that he,she or it holds individual
and Ito n-traneferst►ie reeponciblllty for admiring to and complying with the ESA. the Applicant has read this disclaimer and algna and dues it below.
Signature: — Pig", 0 "V e
date:
/q/'@ rti.i UlHO MAN r.-u.-,1 r V ----_ ,-_-_ . - -
• 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:
141i N +' 130,1114 -,fi'1/1 t %CI (340) 3a S• 349.3 (sboi1-3'65-So 7 8_
MAILING ADDRESS: �ppG� 4 r 4 I ,5 U 1'fL--E EMAIL: StAet99 a k�'' 17�44Ia
CONTRACTOR'S LICENSE p D tZ---to YN 11SEl4 P ikA GI a 3 4,$ WAi NS GbN1
NUMBER: IC141A.
-fi'G4 2c_p4 N I:. NUMBER
ARCHITECT/ENGINEER: A• �7 1 ICI Y PHONE ( ) FAx:( )
MAILING ADDRESS: f t EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Ll New ,?X Wood Existing: n- I1 Sewer
1.1 Addition 11 Steel Proposed: =X Bank Li Community System
X( Alteration/Remodel U Concrete Total: 2. • C Height: X Individual System
11 Repair U Masonry SEP Permit# 89 if Sq.
Li Demolition 11 Other: Bedrooms: 2 Water Supply:
Existing: / Setback: I l Private well 1 1 Two Party
Type of Heat: Proposed: _0— Public
fp ace p AA IL 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 ❑Cook Stove ❑Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove ❑Other
Is this appliance being installed in a Manufactured l 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 1,/l 2 Z n EH Bid App Review: •
`—
2"°Floor Heated �I LZ 0 Consistency Review:
Other Heated Base fee: ' a 5
Mezzanine Additional Section:
—Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: 4. 50
Other Unheated Pp4 ater Review fee:
Garage/Carport l' o4 O � SUBTOTAL 3Q3 ��
Decks 911-0d Approach fee: ----,
Other TOTAL: $ 303.5(p
Receipt Number: vl 7S 0
CashfCheck Number: 33 O L g
ESTIMATED COST(REQUIRED) _ Date: A 10%
.Fair market value of all labor arldmaterials"'idation fo�inish `-t
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DESIGNED FOR
ALL DIMENSIONS AND DESIGN PLANS ARE PROVIDED FOR THE FAIR �A�
The Finest USE BY THE CLIENT OR HIS AGENT IN , JA\). kL:
SIZE DESIGNATIONS Professionals
GIVEN ARE SUBJECT TO COMPLETING THE PROJECT AS LISTED WITHIN � v
11110
' ` !n the h InduVERIFICATION ON JOB &Bath Industry THIS CONTRACT.DESIGN PLANS REMAIN THE
SITE AND ADJUSTMENT TO 11lsifiunal Kifchcn& nth Assoc iittun M PROPERTY OF THIS FIRM AND CAN NOT BE � , 1
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FIT JOB CONDITIONS. USED OR REUSED WITHOUT PERMISSION.
Incipe the following items on your p10 n:
I Property boundaries hdT 1/ /t7CD d wells / i t3'Li- (,,i/f!ER
. rc Names of adjacent streets CrSeptic tank
VDriveways and parking spaces e3 Drainfleld (enter NN if unknown)<�e'r
c' Surface water(ponds,creeks, etc) of North Arrow
Buildings(residence, sheds,garages, etc) c----___Y
isV H pits = W o Cit�4& e • :•a-1-1'1Z.t,JT
PLOT PLAN I isl PR°liA'TY1\ r
APR - 8 2008
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Permit#or Parcel# 5 E P 5-? 157
Doc urnentt .2 of 4
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