The URL can be used to link to this page

Home My WebLink AboutBLD2008-00411 •UILDING PERMIT APPLICATN BLD08-00411 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00411 Received Date: 9/16/2008 SITE ADDRESS: 260 S PALMER DR PORT TOWNSEND, 98368 OWNER: CHARLES BULLEN TRUSTEE PHONE: (360) 385-2444 JO ANNE ETHERIDGE TRUSTEE 37 QUILCENE PLACE PORT TOWNSEND 98 98368-9497 CAPE GEORGE COLONY DIV 2 SUBDIVISION: Block: 4 Lot: 25 PARCEL NUMBER: 938100425 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOl ADD SHOWER TO EXISTING DOWNSTAIRS BATHROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT VALUATION 3,371.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 KAS 09/16/08 102708 APPROVED Plan Check $63.21 KAS 09/16/08 102708 State Building Code $4.50 KAS 09/16/08 102708 SEP 17 2008 Total: $164.96 Jefferson County Plannino & Building Deaartment Jefferson County Building Dion Permit Nu*: BLD08-00411 Applicant: BULLEN TRUSTEE 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 Rough-in Plumbing 9,_ib_e` M s m`� V 1A04),_ LL f ` L q( �.� C 4 S, Mechanical Systems U .� �� 50 cfm fan II II li II it lil III hFINAL INSPECTION 9,/b .`'ct nut a FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR VED ,4.5'- , CO6. JEFFERSONOUNTY0 W3 DEPARTMENT OF COMMUNITY DEVELOPMENT ~' ` '-4 621 Sheridan Street • Port Townsend •Washington 98368 SEP 1 6 21.108 4100 360/379-4450 • 360/379-4451 Fax �SN��p� www.co.jefferson.wa.us/commdevelopment JEffERS(1N COUNTY DEB .triMaster Permit Application MLA: Project Description(include separate sh is as necessary): A sktv.../ —to w �A„Oa.. 6cd.(,/iL Cu-MA (C21)(is-h'y_in (,c -lt lw.+-t Tax Parcel Number: 9 3' i o v y 2S' Property Size: "7/( (acres/square feet) Site Address and/or Directions to Property: i (o S FC&1 vw?, T C" Po/-t Tcowv1S-e,�t W A 933�3) Property Owner(s)of Record: c-)OLt_E„! E 2 i O&c: Fhri i t.Y T Z t r Telephone: i3(f,O 3 2-Li Fax: 3(49 ) 39 3 c09(0 email: cbu lle t„6'd icz.ut,ip.Cc ,44 Mailing Address: 31 QutlCevt( T( ) PO'-'t 1-0 w,1S-e?.-tc( U0IN 9 83(- ' Applicant/Agent(if different from owner): I b Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Quilding 0 Critical Areas Stewardship Plan El Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑ Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** El Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment El Address ❑ Road Approach ❑Short Plat** ❑ Home Business El Cottage Industry El Binding Site Plan** ❑ Propane 0 Long Plat** El Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration** El Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference El Tree Vegetation Request **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 its 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 requir-• later inspe• ions. Staffs a� d ight of entry will be assumed unless the applicant informs the County in writing at the time of the applic. th— -- o re wants p 'sr no Signature: O 1 �� /�(4�1 Date: 9 — j� — L eg The action or actions Applicant will undertake •s - result of the issua of this permit may negatively impact upon one or more threatened or endangered species and could lead to a pote ti. "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 Jeffe unty development code.The Applicant acknowledges that he,she or it holds individual and non-transfers sponsibili �r adherin I ng with ttye ESA. The Applicant has read this disclai er and signs and dates it below. Signature: � Date: — I S �i<=v? 1 I;:\PermitCenter\###FORMS###\DRD FORMS\ ster Permit Application 5-29-08.doc L. • BUILDER STATEMENT 40 The signer of this statement does hereby certify t.• they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu .r. •- esp ability . •• I contractor for the proposed project. Signature: / _' �iti1 j• � (-tie Date: C.) — / - 2CX)?J' GENERAL CONTRACTOR OR MANUFA .-ED HOME INSTALLR: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: I1 New t4 Wood Existing: 3 ❑ Sewer ❑ Addition I 1 Steel Proposed: 0 Bank n Community System Alteration/Remodel i l Concrete Total: '3 Height: g Individual System I Repair Cl Masonry SEP Permit# -17-ODD Z H 1 Demolition ❑ Other: Bedrooms: - Water Supply: Existing: Setback: ;I Private well i-1 Two Party Type of Heat: Proposed: 0 U Public Total: 3 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove 1 Woodstove 1 Fireplace Insert 1 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 Amount Revision Main Floor Heated EH Bld App Review: ISIZ Sam 2na Floor Heated Consistency Review: �n I Other Heated Base fee: {1. a5 v1 1Ct 1, Mezzanine I Additional Section: .---—__ In et Heated Basement .,Zg t, Plan Check fee: (03. a Unheated Basement 0 I� ,I State Surcharge fee: 4•SD Other Unheated C" Pot Water Review fee: h I Garage/Carport „ SUBTOTAL I / Decks S L r• : ; ,�i, r°� ° I� 11/Rd Approach fee: Other vi /C _ TOTAL: $ I y - -!Co Receipt Number: l oa"LOB HoCash/Check Number: 5 7� ESTIMATED COST(REQUIRED) JEf rE� -C_ Date: I,,Q •Fair market value of all labor and ma` foundation,to finish 33-7-1 • I• Initials: alifi G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 11 M a c...., r cam+ co a suBd pencuddu eI of suois!naa ao i .'Z "m -:6ueyo 6ui'ew of Loud 09t4'-6LE le W Ivawuedea 6uip�mS NIlogluo'J �: "o '' new pus sapoo atgeo11dde lie emu. w o aueluoS JI uo133dsd(fled — .._ --. ---rt .4 " _ ful )10M lib 'suo;sslwo Jo aioiJe Ate 15L 12 0 wan :Ace peAoidde We staid:3011ON CO n z ' Q001 u4 c /1 ieMa1Aab �^ 1] 1 pleaCe 14 a�J Q3103f32I CIc t' cn CC 0310N SV 03A02IddV itl W°" a \.nM0� 00 u rdOi5 fl1 {VJ f1S SY 03A0?lddb W - co M3IA32! Nd1d JNIO1In8 .. to /� J\ z 6�� Jl1Nfi0� NOSb3�d3f�� )12E10 w , o� .� = Ni • t a. _ E-' �Z --� w J !'�'r E- La' ,---? . G .4 4 a 60 w z 6• . m 1 ^ (von/ �r-�1i � �7)3�1U{j SNI oe O P►�+ An 4-___ r1s /1%1 (MgN y 13 i r T W WOOIZiQ3fl 13 _ vs--_ F- -N Zi A'. 1 . AgA / itj 4‘.3- _ .1. (\rye_ ary.0-091\ 1-c K..Z. 2 0 (- • I _ like w-e ..// / • A J Ca It c (L W / §Vi t (NO 1--Wig-C)3/\ 0 / \ii 4*3' W CJ)ce aa.. / , �n I -2A-3 1-J-114() S W 4 ix — a. z