HomeMy WebLinkAboutBLD2008-00464 4103UILDING PERMIT APPLICID Review
N 00464
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00464 Received Date: 10/24/2008
SITE ADDRESS: 114 CRAIG RD
SEQUIM, 98382
OWNER: DAVID A BAILEY PHONE: 360-681-7043
MARGARET A BAILEY
114 CRAIG RD
SEQUIM WA 983828719
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 902042015 Section: 4 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: GREG BLAND PHONE: 360-670-9320
PROJECT DESCRIPTIOr NEW UNHTD SUNROOM ATTACHED TO EXISTING SFR-NO MLA
REQ'D
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 12,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE GARAGE: 396 SHORELINE:
CONST TYPE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total: 2
Routing Date: , r
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $209.25 AMS 10/24/08 102954 APPROVED
Plan Check $136.01 AMS 10/24/08 102954
State Building Code $4.50 AMS 10/24/08 102954 NOV `, 2008
Total: $349.76
Jefferson County Planninc
& Building Department
Jefferson County Building vision Permit Nu•r: BLD08-00464
Applicant: BAILEY
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 66 vt1
Foundation Footing .?` 01n
Framing j 9i__i,it)cl f'J
(I t I 'n (,),' ti"�
�iYc C1l � � coo ,61z
FINAL INSPECTION
FINAL IN PE TION IVIU T BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD08-00464
1.) PRIOR TO BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP08-00183 IS
REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT.
;! C J1-. I a
S0N co�4` d.. JEFFERSOIUNTY •
w DEPARTMENT OF COMMUNITY DEVELOPMENT C J T 2 4 2C08
1-3 " '<1 621 Sheridan Street• Port Townsend • Washington 98368
4. 360/379-4450 • 360/379-4451 Fax ifi, t l,�h 'l'f1It
qs, t5" www.co.jefferson.wa.us/commdevelopment tE�iSC;; �UUl41Y DC�
Master Permit Application MLA: r1O YYl I C rq
I Ce
Project Description(include separate sheets as necessary):
SU VIA Kral-e-ci To 4-44USc. ,y tita.TED
Tax Parcel Number: ?Oa Of - v I s- Property Size: /{C iza- (acres/square feet)
Site Address and/or Directions to Property: 114 C R I f �ft� -, S U�-wt. /6-IE-RDI/UtY2- > WA
C CF/t I C RI) 13 G-= ' IC k r C KE-kJ Cc i ? `a , I ?flL to � 1.0 II I T brd,ticnib, ;?T.. EJ'L1)
Property Owner(s)of Record: JD>EIUI lb 4. 'f2 t=/{1 ; 4 • r Los
Telephone: 360-- (2c I 47C 3 Fax: email: ('Ath.iN e•)_OLYPe U, e.elat
Mailing Address: /►4- (Rvt-T C, 'e D ) sea vim__ rj 9,938 2
Applicant/Agent(if different from owner): G-2C'G 13 L_A-&;'lj
Telephone: 360-( 76- C132n Fax: email:
Mailing Address:
What kind of Permit? (Check each box that applies
Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
Single FamilySut\rczr'c)❑ Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]*"
❑ Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
0 Address 0 Road Approach 0 Short Plat**
0 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**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 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 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 -( -a- I to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 4.1 Date: e jD_, '
�'�
By signing this application form,the owner/agent attests at 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.
further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
+xpenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
further agree to pr•yide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
view and any re,uirird lat r in pe 'ons. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
ne of the appli io• tfCatsh wan prior notice.
)nature: t44 , £e 'k &
Date: n- 711—d
a action or actions Applicant will undertake a a result of the issuance of this permit may negatively impact upon one or more threatened or
langered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
dangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
nit has been iss , will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
m(s)even if yo ar in c plian with the efferson County development code.The Applicant acknowledges that he,she or it holds individual
non-transfers r on ibility r a in /to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
ature: e ti y
Date: /b - ai4- G�
iitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• BUILDER STATEMENT III
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 assu ing the res ns lity of/+nXthe General Contractor for the proposed project.
Signature: L' 1 L� � �• Date: l C • 24--pe;
GENERAL CONTRACTOR OR MANUFACTURED OME INSTALLER: 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:
❑ New $ Wood Existing: I. Ai/A ❑ Sewer
S Addition ❑ Steel Proposed: Bank ri ❑ Community System
O Alteration/Remodel ❑ Concrete Total: 1 . Height: Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: li( Private well 0 Two Party
Type of Heat: Proposed: 0 ❑ Public
U N,11E -r-t'' Total: a. Name of System: a-RkL S't''I
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 Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Ta_als, 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 submi 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 f O or# ice Use nly _Y ,.,a__y Amount Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated _. Consistency Review:
Other Heated ,. Base fee:
-
Mezzanine _ Additional Section:
Heated Basement f4 <' Plan Check fee:
-
Unheated Basement State Surcharge fee: L
Other Unheated -C1C0 ce Pot Water Review fee: ----_________
r SUBTOTAL
Garage/Carport r Oa r 3111
'1
Decks - =., 911/Rd Approach fee: �i_ K- CI
---}
Other TOTAL: $ '3y C , r G
, :' Receipt Number: 1 C)aCic3(
1
n ' Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
.Fair markJ/ ?
lue of all labor-anfl u a hats foundation to finish I 1'r -t JO )
c �� i`� Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
c / 1
_ _�
P
C.
77''
a .,�,
fi, -� cn
_ �- `
H
C
T\I -
I TN
. n V._ . ._
CI i r
\ ...
vrry
Alk
1(.4 1 \ apt .4.„. .i /;
c... �.N I
4 •'
tt,
1 • , & O V
is—
D...0
(41
JL
4 ' T.
Ix�
/ 1 Citi i: 4 1,. Zq 'Z-1*
frk
4 t,,,,`"‘ . ,z,.. ,.....
co s/ --S. —t \.
m G --
o -
LA v i M tc>
,�,�'� c3 to
Ci)
T ..,
�-
,c2 II:
..,
, , ,
,,.. cz
Q C , ( o
--CI ' L, , ,
LA m
9-1 O
Z i. cf. - w
'p .
° _ U }
v ,
c Zi - L G
c. fri
tl
. _ �,,
iC c..., ,''
y r) .. �j
�G� "tee 7 —f —
.. _ r,
C----j '. 1 )
Y ? ; c
' S 4