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Home My WebLink AboutBLD2008-00395 PUILDING PERMIT APPLICATt MLA08-00408 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00395 Received Date: 8/29/2008 SITE ADDRESS: 372 PULALI POINT RD BRINNON, 98320 OWNER: CHARLES M SMITH PHONE: 372 PULALI POINT RD BRINNON WA 983209774 CORN SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 601183016 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License SEAHOSI077KS Expires 11/30/2009 REPRESENTATIVE: GREG BARRON PHONE: 360-765-3749 7425 THORNDYKE RD 360-765-4551 QUILCENE WA 98376 PROJECT DESCRIPTIOP STAIRS TO THE BEACH (EXISTING, UNPERMITTED) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 35,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: 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: CI 1-3 ion Type Amount Paid By: Date: Receipt: Approved/Date Permit $492.25 AMS 09/02/08 100795 APPROVED Plan Check $319.96 AMS 09/02/08 100795 State Building Code $4.50 AMS 09/02/08 100795 SEP It 2008 Total: $816.71 Jefferson County Planning &Building Department • Jefferson County Building Division Permit Nurr: BLD08-00395 Applicant: SMITH 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 Foundation Footing Framing I FINAL INSPECTION 4`1 FINAL INSPECTION MUST BlAPPROVED PRIOR TO BUILDING BEING OCCUPIED TH . PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00395 1.) 1) All new construction and substantial improvements shall be anchored to prevent flotation, collapse, or lateral movement of the structure. 2) All manufactured homes shall be anchored to prevent flotation, collapse, or lateral movement, and shall be installed using methods and practices that minimize flood damage. Anchoring methods may include, but are not limited to, use of over-the top or frame ties to ground anchors. 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. w • ,-' 440.5 ?. �f � �kti. FERSON COUNTY Ti' DEPARTMENT OF COMMUNITY` r DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �� p� www.co.jefferson.wa.us/commdevelopment C� Master Perrnit Application MLA: 0") -4 05 Project Description(include separate sheets as necessary): 1-7 Q. Tha. F -- • 4 t H .S7f, wliL� Tax Parcel (� Property Number: 0/ /LS a C' Size: (acres/square feet) Site Address and/or Directions to Property: .-2 PVLe L po",,4- 0 Property Owner(s)of Record: Cf- L&f ,$ M ►17- Telephone: 3 6 " -2Fe- Fax: email: Mailing Address: 3?? l vLn12, f ,„d-- RcJ Applicant/Agent(if different from owner): Gm, A 4/lc›... Telephone:36 O 7 65-3 7 471 Fax: email: Mailing Address: 7 r ll/ ' d C?`t`tete_ -44 c71~37 A. What kind of Permit?(Check each box that applies 'Building C A- -H ST oreiz vLq-y ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** ❑Single Family ❑Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address_ ❑Road Approach ❑Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stomiwater 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 ❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 6�' to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE d� ,. Date: 41- - a! - 0 D _ 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 Tray 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. Sta access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio that he or she wants p" r notice. Signature: Date: T — y — 0// 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 e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferab responsibility for erjng to c ly" i .E RHsq nt has read this disclaimer and signs and dates it below. Signature: ' " i'j1 '� : ) g !;_� ' 1 ,: Date: V -* - D 6. C:\Documents and Settings\caral\Local Settings\Temporary Internet File blt8tNaster3''�33 Application 12-19-2006.doc u La (. t7 w • • 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 MANUFACT RED HOME INSTALLER: PHONE: FAX: - c(\Q c Utc_ -,c 36o) 765.37`I7 (3a6) )6S—LISSI MAILING ADDRESS: —241 aS l f IA -Li( 4 EMAIL: CONTRACTOR'S LICENSE r� WAINS NUMBER: �4�S.1--U 7 7�`S NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pro ect Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: )New .Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System LI Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 1 I 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: ❑Underground Tank liAbove ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove 0 Woodstove ❑ 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: ----______ 2nd Floor Heated Consistency Review: va a 1_5`1 -Other Heated Base fee: `)CI a Pf,5 Mezzanine Additional Section: Heated Basement Plan Check fee: .3\At -ci G Unheated Basement State Surcharge fee: Li • 9 0 Other Unheated Pot Water Review fee: /. Garage/Carport SUBTOTAL a Decks 911/Rd Approach fee: �__, Other f—�f f- TOTAL: $ GI�� ,7 ��-�1/ `1 Receipt Number: k 06 r) � C Z)C 55' r1 Cash/Check Number: 1c--i-7 3 ESTIMATED COST(REQUIRED) Date: s. rt o—R .Fair market value off all labor and materials foundation to finish "t1 3s,U 0 C.) Initials: 6U.6 C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLKS6\Master Permit Application 12-19-2006.doc 1 1/ai i).aisiw1 UUv, , ' ,,. I.0. .,.., 1111111111111.N1(N „s 4...,....„V. DINARYQPSUpPE1111 TP-- P-C\(5.0.1'\''„AC.v r''- (I) -D 70P OF SLR' `);. 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