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HomeMy WebLinkAboutBLD2008-00415 BUILDING PERMIT APPLICAA BL T N Review Ty 415 ype:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00415 41 SEAVIEW CT Received Date: 9/18/2008 SITE ADDRESS: PORT TOWNSEND, 98368 OWNER: MARY JANE ALTHOFF PHONE: 360-385-7156 41-2 SEAVIEW CT PORT TOWNSEND WA 983689508 KALA HEIGHTS UNIT 4007 PHASE 1 SUBDIVISION: Block: Lot BLD 4 PARCEL NUMBER: 965500007 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/6/2009 REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156 DENNIS KELLEY (360) 385-3115 260 KALA POINT DR PROJECT DESCRIPTIOl ENCLOSE EXIST 180SF PATION TO ENLARGE EXIST BEDROOM - NO MLA REQ'D TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION 17,429.00 MAIN: 180 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: KALA PT BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 Total: 2 Total: 2_._..-______ Routing Date: 1c-'£3 TypeAmount Paid By: Date: Receipt: �; ry,., ,�la,:, Permit $293.25 LYK 09/18/08 102763 1 9 '� Plan Check $190.61 LYK 09/18/08 102763 SEP 1cr State Building Code $4.50 LYK 09/18/08 102763 (� Total: $488.36 Jefferson County Planning & Building Department • Jefferson County Building Division Permit Num.-r: BLD08-00415 Applicant: ALTHOFF BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Foundation Footing lel/ /I/5/ Footing Drains Foundation Stem Wall %l/5/9 fri G)CCAvint DIR-r FCC 164ez.C42Ati:•c IIft/Grill�/ Straps(hold downs) Ext. Shear Wall Nailing f// / ` C 'f� Framing t_ '— / Airseal I tb_ Z- Insulation:Walls 1 Z4�t Insulation: Floors I �0- Insulation: Ceiling 1),- \I 19( .-,'- Wallboard Nailing 11A LerA2 F-0.40If/I3/O$ d FINAL INSPECTION0\ ' nfrr �� � � t �'`(ll t is - .� I Cif in L FINAL INS4, ECTION MUS BE APPROVED PRIOR TO BUILDING BEING OCCUPIED HIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD08-00415 1.) PRIOR TO FINAL OCCUPANCY AN EVALUATION OF THE EXISTING SEPTIC SYSTEM MUST BE COMPLETED, FORMS SUBMITTED AND REVIEW DONE BY JEFFERSON COUNTY PUBLIC HEALTH. THE SYSTEM MUST BE FOUND TO BE IN COMPLIANCE. PLEASE CONTACT JCPH 385-9444 FOR ANY QUESTIONS. ,2, ���¢gON c®� JEFFERS.OUNTY • A ,.� DEPARTMENT OF COMMUNITY DEVELOPMENT ` '4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax p� www.co.jefferson.wa.us/commdevelopment 141ING� Master Permit Application MLA: NX:) mLA e fio' Project Description (include separate sheets as necessary): Tax Par I q Property Number: lco s soc) �'7 Size: 64)rJ t0 (acres/square feet) Site Address and/or Directions to Property: 4 l - 2 StAvlflJ cam. Tjiq- T r tiJ p qt 8 3!tee• Property Owner(s)of Record: M Pt-K-Y A TNo FF Telephone: '-'2?S S. — 11. S CO Fax: email: Mailing Address: 4 L -2 SE V i ex,) at . ' --61.3 v SeN n\ l,_i., P. 9 3 6( ' Applicant/Agent(if different from owner): �L l;LLE� SM-i E1.- ',.►G Telephone: 95` 1 1 S(.o Fax: 3a S- 311 S email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),,C(d),-or C)'-'* - .Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public.Facilities)**. - .-- - ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address ❑ Road Approach ❑ Binding Site Plan** SEP 1 7 L��d ❑ Home Business 0 Cottagelndustry 0 Long Plat** O Propane ❑ Planned Rural Residential Development(PRRD)/Amendinents** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program E�temption/Permitf.evisions*' ❑ Stormwater 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* 0 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: D I NATION OF AGENT I hereby designate KeL�, j Hi • to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 0 Date: ck\\'Z00% By signing this application form,the owne agent attests tlatt a 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 applican info s the County in writing at the time of the application that he or she wants prior notice. Signature: Date: \V\\ l_øc.r& The action or actions Applicant ill undertake as a r sult 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-transferable responsibility for adhering t and complying with the ESA. The Applicant has read this discla er and igns,and dates' it below. 4 Signature: 1"1 Date: ""c,c�-; G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 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 assuming the responsibility of the General Contr�,toc#ertf roposea project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 14+11...LQ a4toz-‘40i- I raC, ( ) ,s-il k.c, ( ) -5a 5_311> MAILING ADDRESS: 2ik0D �/. `�� V� , EMAIL:01 S�1.e,f d cG 5 -0 , AA et, CONTRACTOR'S LICENSE C' ______,MAINS ___ I v.,�S NUMBER: �/Es-L,e 5 1 Sb G NUMBER ARCHITECT/ENGINEER: L\►Jiszi,py,2 1140� PHONE ( ) 3a$. 12oFAX: ( ) MAILING ADDRESS: �G P 20 a y pi"_ A�� EMAIL Project Type: Frame Type:ll t Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New i�Wood Existing: a ❑ Sewer ,Addition ❑ Steel Proposed: — Bank >CCommunity System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: 0 Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Z . Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 6 ❑ Public I p . Total: 2 Name of System:F'/+ -T't PO/v 1 Otic-t ri 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 1 i Underground Tank I Above ground Tank Size of Propane Tank: a �' �y 1 �i i Heat Stove I Cook Stove i Woodstove I Fireplace Insert I Hot Water Tank i Pellet Stove I OOther —1 Otheri Is this appliance being installed in a Manufactured I Mobile Home? Yes / No i 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. I J Square Footage Current Proposed Fpr.Offce Us,e Only-� ,, urt. �.� •-- nhfi,. Main Floor Heated EH Bld App Review: \133 t80 • A 2f°Floor Heated Consistency Review: 4 , : r A Other Heated Base fee: 2Q3.25 Mezzanine '_- Additional Section: ::- b Heated Basement Plan Check fee: 1g0.L°1 Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 44ro 11S.I . Decks 911/Rd Approach fee: Other TOTAL: $4gg.3(O Receipt Number: I O , 2 : lDJ Cash/Check Number: 0Ig3i8 ESTIMATED COST(REQUIRED) ilbicco — Date: /� ,n ,�,.� .Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • kl-el: -Ft-4\ei - Parcel Number: 965500007 111 Owner Mailing Address: 4 MARY JANE ALTHOFF 41-2 SEAVIEW CT PORT TOWNSEND WA983689508 • Site Address: 41 SEAVIEW CT PORT TOWNSEND 98368 /V�—y ./4 e f• section: 7 'fc� Qtr Section: NE1/4 9 r Township: 30N 14 Range: 1W e- c(4 , . .1_____77_7_7::__ ___ _ 7_ ._, _ __ 1 LA,v ,7-- SE P 1 7 2008 l ci �` 'may , iiYTY I Zip - cop , ii " k i .. . „ - , • 1 'T r ' r IA og ., " FF[EtSO LOOPJuL ••-'•► ' -- ,,,, V N i-7- 'I,- *'(!3% V/ W .) \ c.:'*---‘-'N—c-, 12-cto g4,-- 15-or:rtio. fr-i ) 414 4 4�+D 4.e, l ' 1 CIM ORAMVINC, B� V -�.,.. r ORC 1. w..i..rnnmww.o. • ........an.. ww.onoa.owol ••Eo•s•.r 1122 1420=. / Iasnrm 4m.. 1 ////�� NElleHITS ' , �����I�U QII.Q ' A CONDOMINIUM PHASE I SECTION 27, TWP 30 N., RGE. 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