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HomeMy WebLinkAboutBLD2008-00309 tILDING PERMIT APPLICAlIN MLA08-00337 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00309 Received Date: 7/14/2008 SITE ADDRESS: 187 ALDRICH RD PORT TOWNSEND, 98368 OWNER: RICHARD D HELANDER PHONE: 360-479-0131 ROBERT HELANDER 3804 HARBEL DR BREMERTON WA 983104730 TUKEY'S ADDITION SUBDIVISION: Block: Lot: PARCEL NUMBER: 999201101 Section: 31 Township: 30 N Range: 01 W CONTRACTOR: KIMBALL & LANDIS LLC PHONE: CELL 360-301-4897 151 FREDRICK ST PORT TOWNSEND WA 98368 Contractor's License KIMBALL996D3 Expires 3/25/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPAIR STAIRS TO THE BEACH TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 2,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: 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: cL . 1-'� ) t L1 16 . Type Amount Paid By: Date: Receipt: Approved/Date Permit $69.25 AMS 07/14/08 100530 A1DPIDVEED Plan Check $45.01 AMS 07/14/08 100530 State Building Code $4.50 AMS 07/14/08 100530 AUG 5 2008 Total: $118.76 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD08-00309 1.) In addition to Jefferson County permit conditions, the project proponent shall comply with all conditions set forth by the Washington Department of Fish and Wildlife through Hydraulic Project Approval. 2.) 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. 3.) No fill or other material may be placed in the waters or intertidal areas of Jefferson County. 4.) All lumber and other materials treated with preservatives shall be sufficiently cured to minimize leaching into the water or shore bed, in accordance with the Best Management Practices approved by the Washington Department of Fish and Wildlife. 5.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 6.) The development shall be essentially the same as the original in location, size, configuration, and external appearance. Jefferson County Building Dition Permit Num. BLD08-00309 Applicant: HELANDER 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 Erosion Control Post Holes Framing FINAL INSPECTION _q-ES — FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR VW ATE. :::.! '' C*1 Ck..) t,.) 1-r.1., (---„,T„, ,,,, 1,‹ .1,',. _,,,n V "ji I) r — JUL 1 4 20118 , I i. . [ 1 JiffERSON Ceti TY (JCL! , . \ lui,11-4. i-loc'•X \.N .. ,- • t 1 , i It)A4,4 ,,,, • IMO ' IIIIUL i. 'ir 74 0 K., : ,._ . .. : , !• , Jul:L=44 i 74W - t• c,' '',' I (' -c)*-1 •AN'T.,c) ''', 7- z - . . , . tr ...! --,.. ' .. ...... ... lip '7A ' 1 1 ' . ,.../............•, ''... t . 1111 III \ IP ; .......:,.'.' i 31 l' I40 i Va. ,-,-- . ' —JA-----4---' --A--- -`` e11-1 NW . , 1 I , i _ ____ _ ____ _ ----- — — -- . a • L •._ ctif02.1_,,, ' I , I 1 1;414tel , 144 1 oS ( 0 'e.c;) ot: ' ZtC„4.41 1) 44 E-Litck P D Ell 12" -'7,.- 25 ' , , 1I 4 .2o1 le:' 0 • ritnion Tr tab 0 $ " 0709 JEFFERSON COUNTY OCE SITE PLAN 208.16' MHHW 8.3'_`\ CABIN EXISTING WOOD BULKHEADS i i EXISTING STEPS AND- - _ LANDING TO BE REMOVED -'�. LOT 1 NORTH OF c Z AND RELOCATED LOT 2 BLOCK 11 ir TUKEY ADDITION MINER BULKHEAD—-- EXTENSION ' = 35' ra EXISTING STEPS AND LANDING 11111111111111111111 200.28' / RELOCATED LANDING AND—/ I J) STEPS 1.--1Q TOP OF BANK / Z OHW 7.2'-" 11111111 c c v r MHHW 8.3' TOE OF BANK \ _______------- 9.75' 30 0 30 60 90 W -: , , _ Scale: 1" = 30' APPROVED SITE PLAN AUG - 4 2008 JEFFERSON COUNTY DEPT.OF CO UNITY DEVELOP NT SIGNATURE: -,` SON 0_ RECEPVED rill%6 JEFFERSON ONTYDEPARTMENT OF COMMUNITY DEVELOPMENT2�� 1' � ' 621 Sheridan Street • Port Townsend •Washington 98368 JUL 14 360/379-4450 • 360/379-4451 Fax N'i',9 O� www.co.jefferson.wa.us/commdevelopment JEFFERSON COUNTY()CO Master Permit Application MLA: 3-.7-)---) Project Description (include separate sheets as necessary): 11?acv� 5 &rs +o bRoc- . Tax Parcel �q q 2 11 b ' Property 75 4 2 Number: Size: r� (acres/square feet) Site Address and/or Directions to Property: t a"T A(.1:=e,4c,c-1 Ro A Co Property Owner(s)of Record: QtC 4AR. ' D. NE-LA 1 0E2/ o3E i2r E {-}ELAn,V rc t2 Telephone: (3(oo) (-Ng --0=113( Fax: email: che6110(feeAmus-•nab: Mailing Address: 3 Y-{ rEav*t OrvQ (L evnevfrv2 LOA 6 g3(b Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies %Building Re ..ivr/ry(a(402 S(zt•t{-5 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 ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** O 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 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 ap on th h(�or she wane prior notice. —7 0 Signature:( es '`—C'�"�l���r Date: 1 ^ (4`O p The action or actions 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 are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans res onsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: IAAA)0 Z7.-+ Date: —7 —t'f — tag G:\PermitCenter\###FORMS###\DRD FORMS\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 Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: i, K1N1VA f_.L.. LA Nn1s LLC. (360) 3o1- 4 estl ( ) MAILING ADDRESS: l5( feePee1 ( ST. cR_T Tow 0SEND,WfA EMAIL: CONTRACTOR'S LICENSE WAINS _ _ NUMBER: K\ ? LL.CR(0131 NUMBER ARCHITECT/ENGINEER: -. PHONE ( ) FAx: (---) MAILING ADDRESS: EMAIL Project Type: Frame Type: B throoms: Shoreline: e of Sewage Disposal: ❑ New ❑ Wood Exis' it' er ❑ Addition ❑ Steel Propose • Bank ❑ Com Wily System ❑ Alteration/Remodel ❑ Concrete al: Height: ❑ Individu ystem Repair ❑ Masonry Bedrooms: SEP Permit# ❑ Demolition ❑ Other: Supply: Existing: Setback: ❑ Private well ❑'Two Party Type of Heat: Proposed: ❑ Public 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: I Underground Tank i Above gryfid Tank Size of Propane Tank: i Heat Stove i Cook Stoveoodstove i Fireplace Insert i Hot Water Tank I Pellet Stove i Other Is this appliance being instilled 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: _��` 2"tl Floor Heated CpsListency Review: 15'1 U 0 Other Heated t3Iase tee: - CJ Co9 - ate Mezzanine . Additional Section: Heated Basement Plan Check fee: 145, Unheated Basement t4 ,State Surcharge fee: � t ‘50 Other Unheated Pot Water Review fee: -' ---..._____` Garage/Carport SUBTOTAL -7 5,.-'1C Decks 911/Rd Approach fee: Other TOTAL: $al5,-7 Receipt Number: I( 30 Cash/Check Number: C 073- Y'\ ESTIMATED COST(REQUIRED) Date: —t I 14 )6c( •Fair market value of all labor and materials foundation to finish * zao© _ Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc m X h ��`� �a — O ry = Ntri � �� {/ , C"' r III _ o II _ % I Q v n � ....1 + F; z I O 1 I :J �z ` � n • _ j p:{ - 0 Io 1 Lch a I `. , , r*l ao z ro 4 \ v m c� I -� ) ;jd L'''''N,. -, 1 1 i el --1-L ` ___________ _____ 1 11_l__I__ I Il g C 0 1111111111 g w 0,.. 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