HomeMy WebLinkAboutBLD2008-00423 ObILDING PERMIT APPLICAN BLD08-00423
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00423 Received Date: 9/22/2008
SITE ADDRESS: 370 SUNSET BLVD
PORT TOWNSEND, 98368
OWNER: ROBERT D HOLTZ PHONE: 360-379-1789
CRICKET MORGAN
370 SUNSET BLVD
PORT TOWNSEND WA 98368 CAPE GEORGE COLONY DIV 2
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 938100315 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License BISHOBC093D6 Expires 1/11/2009
REPRESENTATIVE: LOREN BISHOP PHONE: 360-301-1979
371 BISHOP HILL ROAD
CHIMACUM WA 98325
PROJECT DESCRIPTIOt REPAIR EXISTING DECK & ADD 90SF OF NEW DECK - NO MLA
REQ'D
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION 21,658.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 850 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: co I
l(3.3
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $349.25 AMS 09/22/08 102675 .PpR O V F A
Plan Check $227.01 AMS 09/22/08 102675 A
State Building Code $4.50 AMS 09/22/08 102675 OCT T, ;, :4
Total: $580.76 Jefferson County PPannin
& Building Departmpn,
•
Jefferson County Building Division Permit Nu ,: BLD08-00423
Applicant: HOLTZ
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 / 2-/74-X
Erosion Control ( �--
Foundation Footing /2/ —
Framing f.-�/1� —De � w� pC , q h055 tryt ; t�
( 1st,(
FINAL INSPECTION 47 ( 7,4
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
¢SON E C E I��
�� al, JEFFERSON•UNTY •
r ' `�� '1- DEPARTMENT OF COMMUNITY DEVELOPMENT CEP 2 2 2008
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
.,/,„.will-N0,0'� www.co.jefferson.wa.us/commdevelopment i i� �fti:; ��ij l �r !JCL)
i. d
Master Permit Application pp MLA: ncr) 1.N1 Ck t �
Project Description (include separate sheets as necessary):
Net, Deck
Tax Parcel Number: 93 " /00 3/.3 Property Size: , V3 ,, Icr r s (acres/square feet)
Site Address and/or Directions to Property:
370 SU'15C f 8h///' /O r f" -n tA/r►.5e,ic CJ,4
Property Owner(s)of Record: Cyr c.k,f /t/o.,gan } Bob /4/0/01-a
Telephone: 32 -7 7 cS Fax: email:
Mailing Address: 370 .544,5cf BL tip Pc,-I ".,`y ., Sr„ d , ,.l.
Applicant/Agent(if different from owner): .'o,e.1 8' s 4 or,
Telephone: 36 0- 30/ - /9 7 9 Fax: email:
Mailing Address: 37/ I3/-5Xo n ,-/ /?/) CA,,,,ok r IA r► .
What kind of Permit?(Check each box that applies
❑Building 0 Critical Areas Stewardship Plan
0 Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
0 Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
❑ Propane 0 Long Plat**
❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
0 Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
0 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 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre-Application Conference 0 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 - o'r.l ���ASh v/6 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE �!i --7-1.C/ � '—
Date: 2/crg
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 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 application that he or s ants prior n tide
Signature: L�'— 2/ � �e
Date:
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-transferabl�e�esponsibili adher' t/oa complying with the ESA. The Applicant has read this disclaimer an signs and dates it below.
Signature: ''i'�`-1---- { Z.17 Date: .2 /eloi 96, fr6'
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.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`/ COO/NNTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
MAILING ADDRESS8ro C�s Ca S (36610 30,- /9 7 9 ( )
37/ j3 / '/,//,�o, CX k c
CONTRACTOR'S LICENSE ,/ /�/ WAINS
NUMBER: 8-15/- O8G D 93 DO NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ❑ Wood Existing: ❑ Sewer
0 Addition fi Steel Proposed: Bank ❑ Community System
0 Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
Repair ❑ Masonry SEP Permit#
Demolition 0 Other: Bedrooms: Water 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:
Underground Tank Above ground Tank Size of Propane Tank:
Heat Stove Cook Stove Woodstove i Fireplace Insert Hot Water Tank Pellet Stove 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:
Other Heated Base fee: 3C{ 9
Mezzanine Additional Section:
Heated Basement Plan Check fee: a^--)• 0
Unheated Basement State Surcharge fee: j t �V
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL r look
V oa 1
Decks 850 ` `� 00 9 1/Rd Approach fee:
Other � "^-
TOTAL: $ >j 60,n
Receipt Number: `Inn 6
Cash/Check Number: 60
ESTIMATED COST(REQUIRED) Date: ! 91(3R)
•Fair market value of all labor and materials foundation to finish
y /p o o Q, Initials:
l 11�J
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• -•
• 0
LI CO
[
r-----
I :1 CM
=0
CV
CV C.:LI
..'
? P 4
W c---,
. CV ---,.-__ .. __.r.__..9.•01.L'0101 !I
$1
..... '''. it) a_ c.=
tr 4 1 16
7
.T... LIJ
Cr)
t...a.....a
. ,
II 1 I 1 rh rt
1.1...
t-s-4
---D
Y
0
Lli
a
0
Z
5 .
z ,
. .
< 1.' 4' 1f -"c.i,-.ai.—a—.1.:"
I—
(/) t'
Lu 21 1
L.L.i /Z •,,,
CC 5 1 !'
,.
..,7 RO
_I
<
". 4'
. 21
Z "' 10 ' 01 - t
o
i=
0
<
__4__
i.
IL r,i
,1",' •1' 0,,,,
9 ii•,,, 01 ,2'4
± .
TA
.i,
1
8?
i I
1 b 0
=.„9l 0'541`0,Z'0181
7
I-J-1
I • n
0 1
Z I
U)
11
>7
LI
ri Z
1 il
gm-k- W6
4 OLLI4
01
1
1 O
1 e3
I
' 1
I :g
1
-....
El i 1‘ -I
I
(11
111111111111111MI.1 1 0.,-'i
IT
i--
0
o
a.
-p
O
2
m
n
--I
z
rn
W
W
CO a
o
O �*
W •
0 < m
u loo o do,
az c
S n
(04
Z. CO
CfrJ •
� � O
N
m
CO r -` (crA
OWN
g `1
a\ T
C
z
3
Q rn
3 v
' ° V N
p 0-.74(19 09
9*
z )`' '
WZ Cr(
s
co
f�fl 77 UPS
0
e Cr(O
z
z
nG
,),
K1 _
O
w