HomeMy WebLinkAboutBLD2008-00240 • BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD08-00240 Received Date: 6/4/2008
SITE ADDRESS: 151 S RHODODENDRON DR Issue Date 7/18/2008
PORT TOWNSEND, 98368 Expiration Date 7/18/2009
OWNER: JAMES A DOROS PHONE: 206-794-1687
BONNIE S COLLINS
3532 SW 112TH ST
SEATTLE WA 981461610 CAPE GEORGE COLONY DIV 3
SUBDIVISION: Block: 6 Lot: 1
PARCEL NUMBER: 938400601 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: REMODEL EXISTING SFR-ADD 106sf. BAY WINDOW ADDITION, TRELLIS
WALKWAY
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 106
VALUATION 75,000.00 ADD'L HEAT TYPE: HTP
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY. R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 168
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS BATHROOMS: Permit $818.75 LYK 06/04/08 100322
Exist: 2 Exist: 4 Plan Check $532.19 LYK 06/04/08 100322
Prop: 0 Prop: 0 State Building Code $4.50 LYK 06/04/08 100322
Total: 0 Total: 4 Total: $1,355.44
Directions to Site:
SEE DIRECTIONS & MAP IN FILE
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
SPECIAL. CONDITIONS APPLY - SEE ATTATCHED
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CONDITIONS for Building Permit# :BLD08-00240
1.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction. and in the design and operation of stormwater
and drainage control systems.
2.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
3.) Setback from S Rhododendron Dr is 20' - Site plan indicates existing foundation is 22.6'
setback. Bay windown bump out is under eave of existing residence. Setback from
Rhododendron St is existing 20' setback from existing residence. North boundary setback
is existing garage with a 5' setback. East side setback is also existing garage with a 5'
setback.
4.) The building height is not to exceed 35 feet.
Jetferson County Building Dksion Permit Num BLD08-00240
--40-
Applicant: DOROS
BUILDING PERMIT INSPECTION APPROVALS kpplicable 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 c�
Foundation Footing 'c-3—off
Foundation Stern Wall
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing I 1-2fi'o
Airseal
Insulation:Walls
Insulation: Floors 'i (}
iL-Z1 "C`i IMMk Nb %heck- liNVA NvY\v4 S .c weic-t' CF.
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailng
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Address Posted ' ( D
FINAL INSPECTION -? - l0
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
44, °� JEFFERSON COUNTY
' DEPARTMEI�F COMMUNITY DEVELOPMENT
'�' `� 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�`S�TINCs'S
0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 03-2(c,Go
I
Project escnption(in ude eparate sheets as necessary): ,
Tax Parcel p�� Property G
Number: q3 O 'OO t o 0 1 Size` l ok-i I a o c4 (acres/square feet)
Site Address and/or Directions to Property:
4513Qkt "ock&tCt i Di•. f �E,7"�ttU rt-€ /, Gtf A- q��Cor
Pro ert Owner(s)of Record: I'll l D s �11 '' li rtr s
Property 00/t ei �L
Telephone: 3 O-58.E- 5 9 71 Fax: email:
Mailing Address: c56.3.g (SW pa i r , 71 1Applicant/Agent(if different from owner): Bich d e4-" (i(, t-S //
Telephone: - - Fax* 0 - "' a email:Yl d-1P Lt) heitahatb
Mailing Address: 179 Tat y/0YSt• , ci Mid h -c-uat ,,ou '836 g aY ,_770:1'1
Wh)t kind of Permit?(Check each box that applies
laiBuilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑pemolition Permit 0 Conditional Use[C(a),C(d),or C]**
var Single Family ❑Garage Attached/Detached ❑ 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 ❑ Long Plat**
❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration**
0 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
0 Temporary Use 0 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:
17,_.1?EnGNETION OF AGENT
I hereby designate /'d'( act as my agent in matters relating to this application for permit(s).t,
OWNER SIGNATURE ®_ Date: rs 2-U -�U
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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applic* that he or s e_wants prior notice.
Signature: 1 Date: - � -U C./
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatener
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-trap se67
ble responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and sigy-v Vns and dates it below.
Signature: ,-1 Q' -9----, Date: S'
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2Q06.doc
BUILDER STATEMENT
The signer of this statement does hereby certify t they are the Owners of the parcel referenced herei they are not licensed contractors and that
ll
they will be ass ing the responsibility of the General Contractor for the proposed project.
Signature: �,..�--, Date: 5-" Z.U -(J 3
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fix:
N /A ( ) 4--. )
MAILING ADDRESS: EMAIL: U
CONTRACTOR'S LICENSE WAINS J U N - 4 2008
NUMBER: NUMBER i
ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) - --- -----J
MAILING ADDRESS: EMAIL
�NT
Project Type: Frame Type: Bathrooms: `� Shoreline: - Type of Sewage Disposal:
❑ New kr-Wood Existing: 7 ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑�Community System
cl Alteration/Remodel ❑ Concrete Total: / Height: I Individual System
❑ Repair ❑ Masonry ..---' SEP Permit#
O Demolition ❑ Other. Bedrooms: Water Supply:
Existing: a_ Setback: ❑ Private well ❑ Two Party
Ty e of H t: Proposed: _ I/Public
Total: ----- ,: Name of ystem:
rh,Pe 0e611-67y
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 In Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove El 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 10 99 b G stio EH Bld App Review:
2nd Floor Heated Consistency Review:
I 1
Other Heated Base fee:
18.-75 -
Mezzanine Additional Section:
Heated Basement el g'gel
Plan Check fee: i(j
932. I`�
Unheated Basement 6,3 State Surcharge fee: s�Ei '5-
Other Unheated Pot Water Review fee:
ExtSnl,
Garage/Carport SUBTOTAL
1552 . T
Decks 911/Rd Approach fee:
, ' Ex 1 S'i/
Other Y' (,l S 'r" /6 g 238(r"7" TOTAL: $ 1572 L-
Receipt Number: 10(1 'Z
lye I 0 4 Cash/Check Number: •�542
ES ED COST(REQUIRED' Date: b -0Z
_m ,75. 00O
arket value of all labor and materia foundation to finish
/� Initials:
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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