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Home My WebLink AboutBLD2008-00217 •ILDING PERMIT APPLICATI Review N 00250 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00217 Received Date: 5/23/2008 SITE ADDRESS: 27 OLD GARDINER RD GARDINER, 98382 OWNER: JON A HALL PHONE: 360-692-1301 MARGY A HALL 6444 HOLLAND RD BREMERTON WA 98311 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002332015 Section: 33 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW HEATED STORAGE & WORKSHOP, NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE. TYPE OF IMP NEW VALUATION 306,912.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: RAD OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 3.200 DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: (-to 5 113 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,152.95 AMS 05/23/08 100257 APPROfED Plan Check $1,399.42 AMS 05/23/08 100257 State Building Code $4.50 AMS 05/23/08 100257 Total: $3,556.87 JUN 2008 Jefferson County Planning & Building Department CONDITIONS for Building Permit# :BLD08-00217 1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 2.) A Medium Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 3.) Minimum front setback from Old Gardiner Road right of way is 20 feet. Minimum side and rear setbacks are 5 feet. Jefferson County Building D`Sision Permit Nurr: BLD08-00217 Applicant: HALL 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 Setbacks t_7 Foundation Footing 1 I (` Footing Drains Foundation Stem Wall Underground Plumbing Framing Drywell/Alt Drainage [3MPs Address Posted (0 7),(_— 1 - qe-oltral?) FINAL INSPECTION gaile &e9( FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 4/11 4')4s0 c06. JEFFERSON41/UNTY W '\� DEPARTMENT OF COMMUNITY DEVELOPMENT �' v ' `-4 621 Sheridan Street • Port Townsend •Washington 98368 '_: �y 360/379-4450 • 360/379-4451 Fax qs OHO www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 03 - a 0 Project Description (include separate sheets as necessary): S TOie., 64": rt9Z-JC S/TO' i1C`4 :c b IV P P' , 0/'113 ,/ 6 Tax NParcel perty umbed 0Da 3 3 A o i S ProSize: 4/e ?' 4 CR.'S 41:rsquare feet) Site Address and/or Directions to Property: mT 7 0L.1.) G A: i./.. -W /2c,sfP Property Owner(s)of Record: �/0�/ e .M/► 2.6 y' AL.L. Telephone: 3 40 6 9..1 /30./ Fax: 360 6.3/ 7 fi i email: }/Z i M/A:n.pR.vp5 E S/x J iZ- Mailing Address: 6 if5/' ' pip//it A/0 jP $je.i''n !Ly'Ow krlq 7 8 3// 4,,,,h "Je, Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies 1$I$uilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ElConditional Use[C(a),C(d),or CI** ❑ Single Family X Garage Attached//Detached) 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ 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 ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 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 applica i that he or Wants pr' tice. Signature: err,c...--1 Date: y'y " OS The action or Lions Applicant will undertake 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 ar- in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera sponsi • foo d� r o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: / 9Z " !' giik Date: , —2 3 j —Q x G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 0 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 assu 'ng the responsibility of the General Contractor for the proposed project. Signature: rr,-fi 74 Q41, Date: 45--".2.3 — z9 k GENERAL ONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FM: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 4 New ❑ Wood Existing: ❑ Sewer ❑ Addition X Steel Proposed: r Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete ❑ Individual System ❑ Repair ❑ Masonry .— SEP Permit# ❑ Demolition ❑ Other: Bedroom Water Supply: Existing: C )C ❑ Private well 0 Two Party Type of Heat: Proposed `� + 4' Public .7r �2,./g.,2 r '7�/(/ `, Ie C3 Name of System: P1.1.� 0 If this is a Commercial Project you must answer the following Number of Parking Spaces: Current: Propose 'arking Spaces: Number of occupants(includes owners,tenants,employees,etc) rroposed 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i 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 u F Amount Revision:- Main Floor Heated EH Bid App Review: I\i On 0 53 2"a Floor Heated Consistency Review: 151 pO Other Heated Base fee: 9.15a t 90 Mezzanine Additional Section: Heated Basement Plan Check fee: l, 3C\W ( Il a Unheated Basement State Surcharge fee: �/�, Other Unheated Pot Water Review fee: Ni0 PIrr* Garage/Carport SUBTOTAL ,�� ' ' Pi cR"e,b 3.4v o�,gla Decks -� 911/Rd Approach fee: C_'lS 1r _ ) Other TOTAL: $ "3"1 I ? ,17 Receipt Number: Q 9,51 Cash/Check Number: ,t) ESTIMATED COST(REQUIRED) Date: I / •Fair rket value of all labor and materials foundation to finish 5103 I t n o090 Initials: lM , G:\PennitCenter\###FORMS###\DAD FORMS\Master Permit Application 12-19-2006.doc 9',4,7/ ? a' a -7° --- CA 1 ‘ 4' L) `� \ ]1 \ \ \IN '.Z, 4...6_ \ \ ., \ CNA 1 \ \ . .0..... =0 I \ _ * �' 3 96 Ca roi at \ \ \ f � G co \ c. ... ,,„.„., 1\ - , , 1 �� c. 4`1 , , 1 1 pe .,„) .,('. la- \ \` • % L3 �ti 5 \''';. t� . \ .. , \ ei , -- - - bo\ '-- ' ' N4.''' --- ' .4-4,( .. ,,c.. \ \ 4 -i,,,:.',,,L N....‘ p 1 �+ tt v A` 7� • 7 15 \\4•A‘ \‘1\‘ \ . . \ ' \ W z o i> \40, ,N'I'L 7' T Vc- . \k‘ \ 1 .\,, \:1 F. 0 N i \ ta .-t,\ ;, \ T••• \ I . 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