HomeMy WebLinkAboutBLD2008-00468 BLD08-00468
•UILDING PERMIT APPLICION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00468 Received Date: 10/29/2008
SITE ADDRESS: 10271 RHODY DR
CHIMACUM, 98325
OWNER: WILLIAM LOPEMAN PHONE: (360) 385-0292
COLETTE LOPEMAN
10213 RHODY DR
CHIMACUM WA 98325-8709
SUBDIVISION: Block: Lot: TX 65
PARCEL NUMBER: 901101027 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION METAL ROOF BETWEEN TWO EXISTING SHOPS
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 8,408.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 330 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
itiR4 iaal;)
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $167.25 KAS 10/29/08 102904 APPROVED
Plan Check $108.71 KAS 10/29/08 102904
State Building Code $4.50 KAS 10/29/08 102904 OCT 30 2008
Total: $280.46 Jefferson County Planning
& Building Department
Jefferson County Building Dision Permit Nur*:
Applicant:
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 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 enT Date Approv I Signature Notes
-X(1/4" (l
\i/-7(
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD08-00468
1.) This structure is proposed over an existing concrete slab between two existing structures.
No new impervious surface. No consistency review is required for this project if staying
within the existing footprint proposed.
/ ON co�� JEFFERSO UNTY • RL C E }'
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend • Washington 98368 Or 2 9
360/379-4450 • 360/379-4451 Fax
.,' p"� www.co.jefferson.wa.us/commdevelopment
IEFfEttON CO JN Y OCP
Master Permit Application MLA:
Project Description (include separate sheets as necessary):
. ,.e t..a D.t2o—f b e__- e_•e__ . s _s t e c
Tax Parcel Number: CI (") I 1 0 1 0 —1 Property Size: 5.. / /Ai- .es (acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record: f,J)( /14 r,,,, a--Coe le_ �-e- f—i U 7 p �,,,._a ,,,��
Telephone: 3 '�—O 1 a Fax: email:
Mailing Address: /0( L.3 e c--/a9S- 012.T-t/ 1-, " f.7`2 ,r' /4-G-rJrY1)1.v 4. 9 ' -7 D S.—
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
`wW at kind of Permit?(Check each box that applies
ilding ❑ Critical Areas Stewardship Plan
❑ Demolition Permit ❑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 ❑ Discretionary"D"or Unnamed Use Classification
LI Commercial* ❑ 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 ❑ Long Plat**
❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development**
0 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 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 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 applicationti� that he or s e wants prior notice.
Signature: X J(aae.,,r-� r-z Lr Date/ 49
The action or actions Applicant will undertake as a result of the issuance of this pe unit 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-transferat9Ie responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ( -f Z O ��LC/LZ-c/� Date: /t /;=j/��3
r /
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
33
O
L
m
C)
z
n
3
m
m ,2 0)0 V .� ��
r •
) 4* 5-J ae-41-br,1 JoA, 3,11,-D-3- 8-.9-) / k -C, 6) J .L-_-_- ,t c?) ) e
, ,...... aannalnaa / a;ea
. a
ID
p Q 03r3u CI •suot;etn6aa pue sepoa etgeattdde tie
;t,w aauewaojuoa Lit not;aedsut seed
J r.n73a31ON SV G3A021ddV 0 ;sflw ataonn tiv •suotsstwo ao SaoJJO Aug
J N fiut;diaxe penoadde sae suetd : 3IlON
a3u1W811S SV 03A021ddy jar
M31A31NVId JN1Qli(18 -guano/mewpue sepoa etgealtdde Its
03(] A1Nt1O3 NOSIl3Jd3f yi@�+a�M swan;uoa ut uot�adsut ssud
••"w Hy 'suotestwo Jo saoas e Aug
.:a�uaxe peAc adds sae auetd :331.0N
zianntn a •
1:3 'g'
...
a 331'311 t
0
G�i 0310N SV a3A021ddV 0
manima 1S SV a3A021ddV
M3IA3d NV"ld ONIOII(18 ��
_+ U3a AJNf1O3 NOS2i3Ai3r
rti
rn
co
Ad00 311A (,,,
) .,,.. ,
m - ' \NA3 X o
D � %� " rt b
o
< -"`
co
90
10 1:1 /
Ow,
Z
z
t
---- /
I co
m
7a
O
-n
m
X
C
j z
-o
X
rn
a ; of '
c C C ) r
K,,"7 -_*
J ti.
1 . /\ Go -}-) 4