HomeMy WebLinkAboutBLD2008-00214 BUILDING PERMIT APPLICASN BR 214
eviewiew Ty I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00214 Received Date: 5/21/2008
SITE ADDRESS: 1001 DISCOVERY RIDGE RD
PORT TOWNSEND, 98368
OWNER: HENRY F MEISSNER PHONE: 360-385-3548
MELANIE LAKE BUERKLE
1001 DISCOVERY RIDGE RD
PORT TOWNSEND WA 983688801 DISCOVERY BAY RIDGE DIV V
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001195128 Section: 19 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: DOUG HATHON PHONE: 360-301-9578
954 DISCOVERY RIDGE RD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION CHANGE ROOF PITCH AND ADD 70 SF HTD SPACE - NO MLA REQ'D
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT
VALUATION 10,000.00 MAIN:
CODE EDITION: 2006 ADD'L: 70 HEAT TYPE: EEE
OCCUPANCY: R-3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 4 Exist: 3
Prop: 0 Prop: 0
Total: 4
Routing Date:
-2i-O
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $181.25 LYK 05/21/08 97388 APPRO /Ec
Plan Check $117.81 LYK 05/21/08 97388
State Building Code $4.50 LYK 05/21/08 97388
Total: $303.56 JUN j 2Q08
Jefferson County Planning
& Building Department
•
Jefferson County Building Division Permit Nuir: BLD08-00214
Applicant:
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 00 MEISSNER6 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
Straps(hold downs)
Ext. Shear Wall Nailing
Framing ‘�ti'k\� C c L g iC z X S to,
Blocking
Airseal
Insulation: Walls Z vY i(
Insulation: Floors
Wallboard Nailing
Address Posted OS/ jir
FINAL INSPECTION 11_0 9
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• 0
Detailed Plot map/Site plan -VandeWeghe Residence construction
Prepared by:Rob VandeWeghe, 1177 NW Thompson Road,Poulsbo WA 98370,360-394-3796
Discovery Ridge Development,lot#8,Port Townsend
Tax parcel id 001 105 128
Scale 1 inch=50 feet;total parcel size=5.5 ac
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��4`sON °°�. JEFFERSOPDUNTY III
., DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�qs __'INS ° www.cojefferson.wa.us/commdevelopment
h l 2008
Master Permit Application MLA: \i b (,/� r
Project Description(include separate sheets as necessary):
Jad /�sjv( Aire, ''� 1,A., jZ/Z,. r'%im. v 7 iz i.V/-'C'
1 Parcel Prop /erty
Number: 00/ ' ��.5-- /2 8 Size: ) /2 cyLc v-PS (acres/square feet)
Site Address and/or Directions to Property:
j a 0 ( aIS(( �vV 2;d , ? e 1 uA-`a3.cs
Property Owner(s)of Rec d: .-e. v►n‘,'f._/ BvCvklt .4 vt c_SS k* r
Telephone: '-V-t)) • S 4 3 S-c( .Y Fax: email:
Mailing Address: )i l30 . . 2 ( 5— / P- A-
Applicant/Agent(if different fro r : 4, -4 U.-)
Telephone: �0 1" t. S 7� email:
Mailing Address: qS 1�i %(v,r?. � P r 1 6 jr✓j�-
I,at kind of Permit?(Check each box that ap lies
Building 0 Variance(Minor, Major or Reasonable Economic Use)
��/ ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
.d_Single Family ❑ Garage Attached/Detached D Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)**
❑ Commercial* ❑ Boundary Line Adjustment
❑ Change of Use ❑ Short Plat**
❑ Address ❑ Road Approach ❑ Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
O Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetation Request
*May require a Pre—Application Conference **Requires a Pre-Application Co rence
Please identify any other local,state or federal permits required for this pro. , .I, if k wrtl:
�or
. ffl a
DESIGNATIONDE14E-NT (2 <—
I hereby designate v o act as my agent in matters relating to this application for permits)
-
OWNER SIGNATURE Date: .7 ( ' U
By signing this application form,the owner/agent ests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehoo 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 late ns c'ons access d rig f entry will be assumed unless the applicant informs the County in writing at the
: tralicati0n
e of he pp e s w is pr' r ice
c.e: Date: -C,
The action or actio Applicant will undertake as a resul f the issuance of this permit may negatively impact upon one or more threatened or
endangered spe ' s and could lead to a potential"tak of an endangered species as those terms are defined in the federal law known as the
`Q' _ "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 i o 'ance with the Je rso County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferab i 'it r a 'ng an comply'ng with th SA. The Applicant has read this disclaimer and sins and dates it below.
Signature: " Date: S 7S- ` v
r
G:\PermitCenter\###FORMS###\DRD FO S\Master Permit Application 12-19-2006.doc
• BUILDER STATEMENT •
The signer of this stateme• - -• certify that •-y are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assumi >+-,: •• sib .. •: Gen al Contract.r for the proposed project.
Signature: , /Al - Date: S 'C.)
GENERAL CO‘T-•CTOR OR MANUFACTURE HOME INSTALLER: PHONE: FAX:
N/9 ( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: IL
Project Type: Frame Type: Bathrooms: Sh r Type of Sewage Disposal:
❑ New -Wood Existing: 0 �j� .Sewer
❑ Addition 0 Steel Proposed: Bank" ❑ Community System
y -Alteration/Remodel 0 Concrete Total: Height: 0 Individual System
❑ Repair 0 Masonry SEP Permit#
0 Demolition 0 Other: Bedrooms: Water Supply:
Existing: _72_. Setback: ❑ Private well 0 Twoy
Type of Heat: Proposed: Public
s
Total: Name of System:
If this is a Commercial Prole ou must answer the followinq;
Number of Parking Spaces: Curren . Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tens employees,etc) Current Proposed
IBC Occupancy: IBC Type of cons tion: 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 of Propane Tank:
1 Heat Stove i Cook Stove i Woodstove 1 Fireplace Insert i ater Tank i Pellet Stove i Other
Is this appliance being installed in a Manufactured/Mobile Home? Ye No
When applying for a permit to install a propane tank you must also submit a ' plan showing all of the buildings,all property
lines, tank location and size, distances from the propane tank to all property line , uildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated W V3 EH Bld App Review:
0\19
2nd Floor Heated (-7;5-"-`j .7U d c.-., i3-la. Consistency Review: (\1
Other Heated ►L' - Base fee: ' l
Mezzanine Additional Section:
Heated Basement Plan Check fee: I
Unheated Basement State Surcharge fee: vG 51)
Other Unheated Pot Water Review fee:
A
Garage/Carport SUBTOTAL
Jb
Decks 911/Rd Approach fee:
Other TOTAL: $ 303.5�
Receipt Number: q— 3 Q
Cash/Check Number: (03 I
ESTIMATED COS EQIIIRED)... `----- Date:
.Fair market v e of all lakbr and materials foundation finish 2-i'f7
140 Initials: 6___. �__-.,
G:\PemvtCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc