HomeMy WebLinkAboutBLD2008-00186 08-
"BUILDING PERMIT APPLICAAN BR Review Ty
186
ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00186 Received Date: 5/5/2008
SITE ADDRESS: 4346 S DISCOVERY RD
PORT TOWNSEND, 98368
OWNER: E. GENEVA INC PHONE: 360-385-2035
4344 S DISCOVERY RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001321017 Section: 32 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr ENCLOSE & REPAIR EXISTING CARPORT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP COU MAIN:
VALUATION 7,544.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 299
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
� 5 c
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $153.25 LYK 05/05/08 97365 APPROVEDPlan Check $99.61 LYK 05/05/08 97365
State Building Code $4.50 LYK 05/05/08 97365
Total: $257.36 MAY 21h
Jefferson County Planning
&Building Department
I
Jefferson County Building D'3ision Permit Nur1 r: BLD08-00186
Applicant: E. GENEVA INC
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 z�/a� _
FINAL INSPECTION /7r,/or
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
4 JEFFERS"COUNTY •
!'w DEPARTMENT OF COMMUNITY DEVELOPMENT
' 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax-
q p� www.co.jefferson.wa.us/commdevelopment
MAY - 5 2008 ,
Master Permit Application MLA: f 1(A r Ft)'
Project Description(include separate sheets as necessary):
(e P tb_-- t NG e g?b tA,vt, Cr ptuiw(o
Tax Parcel Property
Number: O 0 ;z t' 7 Size: .'3 7 (a res/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record: E- Ea k.rk r t r;c K ;:77-G,:ei r '•
Telephone.{3t:i) 3:3 s' Zu 3 Fax: email:
Mailing Address: 43'1 G ( ,-ie , t�' i ,:sNs'�,r, < u-• . le?'4-'
ApplicantlAgent(if different from owner):
Telephone: Fax: email:
Mailing Address:
Whit kind of Permit?(Check each box that applies
QBuilding 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d), or C)**
❑Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
O Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
Er Change of Use 0 Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
❑Home Business 0 Cottagelndustry 0 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**
❑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 attomey'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 appllca/, 'j)
that hesants ri r notice.Signature: Date: /4 y
The action or actions Ap cant wiert ke 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date:
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\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 ontractor for the proposed project.
Signature: t� ^
f � it Date: ,�4..�! ,Z, .2-,,L,r
GENERAL CONTRACTO M UFAC RED H ME INSTALLER: PHONE:/ FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS MAY - .; 2008
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New I,Wood Existing: w Sewer
Addition Steel Proposed: c.e Bank Community System
V Alteration/Remodel Concrete Total: c- Height i Individual System
Repair Masonry Bedrooms: �> S Permit#
Demolition Other: Supply:
Existing: U Setback: _ Private well Two Party
Proposed: C_
Type of Heat: ✓public
,�0,r� Total: ri Name of System: 1\c;it
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:
❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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:
N\IA
2nO Floor Heated Consistency Review:
IQ IOther Heated Base fee:
Mezzanine Additional Section: -_
Heated Basement Plan Check fee: C
H (.1 0 1
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: •-,
).J
Garage/Carport .07qe< f �y SUBTOTAL 3(4'
Decks 911/Rd Approach fee: c)( t.) l�
Other i^7 I
TOTAL: $ '�57 3(o
Receipt Number: (7rl 3LC€3
Cash/Check Number: I 3q 3
ESTIMATED COST(REQUIRED) Date: F" f."
.Fair market value of all labor and materials foundation to finish
. `.i S. Initials:
C _
C:\Documents and Settings\caral\Local Settings\'Temporary tntet ct Files\OLK86\Master Permit Application 12-19-2 RieTUR—
.
.
0 •
A EN iiiiiii114.72TY: c.
„„,.....-..- ....... a...r..- _
„ ----------7
SURVEY FOR:
1 ,,NOAF;7'. LINE ADJUSTMENT) SUSA1V ATK.1 al
IN SECTION 32, T...,('WNSHIP 30 NORTH, RANGE i WEST, W.M.
, . JrFFERcON COUNTY, WA S sHINOTON
au".1710gZ.T.iet t LI
2.--41— -Mt 4.5' -5Z-VX .IF 5.44.4',I. • :, . . .. , .. ,..,
k
. .,.
''.-
-g-
,,....: I
-, •:.
I : .- ' . • ' 11,
rl.
, . .._ ...,..dim.....;
t ..,„ .. V. .5 0 51
.. • 5rAtt 4,,Qr.
CI
"PGA
,
4o5C..0nL...[t1/T.0T.04I.,4M4 t.O.4 f,1 0 0sv-
'
'
Sr•c*:1,..t c"A.'.'c..•ot,r'T,AcMr EI3
E1 ...:....4.„
1O:.C.0•i 0”2.7...'.,...7„.i:
."i-...1.
•6a: ` 4,...
00 4
....._...1.'....,g.
"
45 A _ . i
5.
0 C . - , . ••
: .Z..
. - '
O '.. 7--. n7;
.f0W-SO .
'44cAui SO
rak.t,.
•,
51-4-0044 Lem! '.... rO•or• \ ,,,.., 4 _
..,.,, ' .4 i-- - ,...,:.E45
' '4'.;••i'. .‘ — •
_
--•- fE.CL A....,
t- "N, P.!,1,0-: wair..,„ • -!".•
A.. .... -
',...,__ • ,/, .. i0,01/1/.,......_ ,,,,,
--;‘4,/,''': 4,'•'D .,.1il•,.., jolc.....e.r,or 3
00AW,0471.17 10,71
Ar.125; n3 BOO, 0 sr'.0a.-...fro.•
w..-.8.i_saoer—iadzaeta. ,.
/
. !
,,...n....,..51,1,i IS 4.71.1,73T .
Jr
ieresAms-Awladte w,....,00 ..
0,071041•CS.017
1.Ai X
r,ca :V,:4.1,c OC:044..00`4...5 affs;
•CPv.44.4 •
,JC ----..- su,en.
Kt nall".C5,121..0. t rwM SuPst,..45 ft,'0.0:t or nao I..461-,r5f w.C1+.00s
Atrii216145) ! us.G A 1 T.403'0,.."-O.5rS-t,5.0t.44 srAnor..0,SE:
2
r..0
OF 5...•kfn.f...5e
...woo.Coum-......5....car.
OeN1-... --'---:7
.....,C i i a .1, tat 90,A04007 o.,..f 40,507.0,117..,Eur.07 Dr.0,.7:
.000.10E,041a0 41.,1),J44 3',..E KNACR go.1.12.
/45CC•05 CO...(4,,r550.:NA.,.,...5•.4,5....
• .4,:4.60Pii,,,e'li2C,,Lajfipiiik 4.....,:."7,/,/:. artaill
..f.."5•50.COLP•TY 451,[550.? ../ • 106,
,
S0 Orm0,55:Er Rea*,en,at•V.(;..,..e,cr,.w.,,f...,,,,, ...,,,,...,.,,,•
DEW:I-S.17:10,.70 RIMS,•710,-,A- 70..,,, 11,3,17A,CO '7.70.a
I 7,7r.ice,,,c7,i71A-3,S! .0.77.4 .
Jal0175 111,...)•,."(1.,K7,0',...ooir
a.:. ..--,;.4." •
. .. --• :4,100..-,,,,,,,.fly.4,5.6).5 4,.....,5 J
..
---
_
.,7701 7,7,1
I . ' 7• if,......K.Ai‘..14.7 .... I. 1'._,:..__aii_ S.1,7:78.3..A7 14 7 7.i .--------.
„---....
--------------- '-'''' —
.et**(-4,---4-77'•—•• L ''- •
1 1, ,••••••.1„... • 4,,,,..• A
I • ____ ,..,..,.,......
,•*,..,..***.—,,, .....' - ---——- .-_ LE S..,5.Q-'- - ' 77.:-
r------ •
MAY - 5 2008
, . .
, .
----,-------- ---- ------=---7----------.:i-1----_-_;--,-1,,:--:---_-_---------,-._.-----, --:---___..-=- -_______