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Home My WebLink AboutBLD2008-00424 RILDING PERMIT APPLICATTN1 BLD08-00424 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00424 Received Date: 9/22/2008 SITE ADDRESS: 854 BLUE SKY DR PORT TOWNSEND, 98368 OWNER: ROBERT B NATHAN PHONE: 360-385-2677 KIRSTEN M NATHAN 854 BLUE SKY DR PORT TOWNSEND WA 983689691 DISCOVERY RIDGE DIV III SUBDIVISION: Block: Lot: PARCEL NUMBER: 001195109 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: INTEGRITY HOMES & REMODELING PHONE: (360) 316-9472 124 SWANSON AVE PORT TOWNSEND WA 98368 Contractor's License INTEGHR953PD Expires 10/4/2007 REPRESENTATIVE: DONALD CHARLTON PHONE: (360) 316-9472 124 SWANSON AVE PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOt INSTALL NEW WINDOW INTO EXISTING SFR - NO MLA REQ'D TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: -I 3 q W•) J t Type Amount Paid Bv: Date: Receipt: I Approved/Date Permit $83.25 AMS 09/22/08 102676 APPROVED Plan Check $54.11 AMS 09/22/08 102676 State Building Code $4.50 AMS 09/22/08 102676 OCT Total: $141.86 Jefferson County Planning & Building Department Jefi'erson County Building Dijon Permit Num•: BLD08-00424 Applicant: NATHAN 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 Framing V-L2_OS IIJSIsLATMN /BDI/e" 1//o/6 g $b1DW -- j FINAL INSPECTION l//!%B .' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00424 Received Date: 9/22/2008 SITE ADDRESS: 854 BLUE SKY DR Issue Date 10/2/2008 PORT TOWNSEND, 98368 Expiration Date 10/2/2009 OWNER: ROBERT B NATHAN PHONE: 360-385-2677 KIRSTEN M NATHAN 854 BLUE SKY DR PORT TOWNSEND WA 983689691 DISCOVERY RIDGE DIV III SUBDIVISION: Block: Lot: PARCEL NUMBER: 001195109 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: INTEGRITY HOMES & REMODELING PHONE: (360) 316-9472 124 SWANSON AVE PORT TOWNSEND WA 98368 Contractor's License INTEGHR953PD Expires 9/29/2009 PROJECT DESCRIPTION: INSTALL NEW WINDOW INTO EXISTING SFR - NO MLA REQ'D TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,000.00 ADD'L: HEAT TYPE: CODE EDITION. 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $83.25 AMS 09/22/08 102676 Exist: Exist: Plan Check $54.11 AMS 09/22/08 102676 Prop: Prop: State Building Code $4.50 AMS 09/22/08 102676 Total: Total: Total: $141.86 Directions to Site: SEE MAP AND DIRECTIONS IN FILE HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY IKE( Eli VIED eSO ink N cod JEFFERSON NTY I al 'IA DEPARTMENT OF COMMUNITY DEVELOPMENT SEP 2 2 2008 ~' 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax JEFfERSON COUNTY DCD �qS ,o www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: ‘f\rJ r\ Lc )0( Project Description (include separate sheets as necessary); 5lall wi ck;J�J t i (2_5 )-f--iv V � .� L_ (�F r<) ) Tax Parcel Number: 0 0 [ 1 15 ( O 9 Property Size: .S cjc i`Q--S (acres/square feet) Site Address� and/or Directions to(Property: y Sy 6(me_ ,SKr cr[e�v' __ / �Or'"�/��wrt Se (A//t el 83‘t� pn3S i✓i�L. 061 ��If Rob Ci- Go-ult .:-- T//. I3 �� 5k UrivL -cZ,chrc)e ( ('- G1 I�OI4/- Property Owner(s)of Record: I-�obt— d- 1r r-5 t-Qv` Nv- c.v. 1 I Telephone: 3t 0 -- 3 B"S- QC 7 7 Fax: email: Mailing Address: YSy 6I"-Z .S 6r-,0` / tic r-F L7.3w,•JLkt( kJii rt f. 3 G r Applicant/Agent(if different from owner): ()c;...,f A Char—( ,. , a"r. Telephone: 3 t O ._ 3(t -f7 ct 7 2 Fax: , email: Mailing Address: ( 1(i 5i.-.14Ks%,,, P i& t r+ --. (.-,-A,••I'tkArA uu/t cj 3Cvff Ifinyft kind of Permit?(Check each box that applies Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** O Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry ❑ Binding Site Plan** 0 Propane ❑ Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑ 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 ❑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 Dd"" ( av-1 G'�7 'a- o act as my agent in matters relating to this app ication for permit(s).�� OWNER SIGNATURE / t Date: , G 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 api n that hQ,or shame wp�nts pr notice. / Signature: /c,t/� -�+t-�rl, v, Date: 5/0 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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable res onsibiljttyy,for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. �Signature: tsn1� / Date: 4/s/G 7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc