HomeMy WebLinkAboutBLD2008-00493 UILDING PERMIT APPLICA•N B RD08 00eview p493
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00493 Received Date: 11/26/2008
SITE ADDRESS: 292 E MAUDE ST
PORT HADLOCK, 98339
OWNER: JEFF MC KEAN PHONE:
PO BOX 1344
PORT HADLOCK WA 98339-1344
IRONDALE
SUBDIVISION: Block: 30 Lot: 31+
PARCEL NUMBER: 961803008 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: HOPE INC PHONE: (360)385-5653
DBA HOPE ROOFING
PO BOX 1199/105 LOUISA AVE
PORT TOWNSEND WA 98368
Contractor's License HOPER**043N7 Expires 2/16/2009
REPRESENTATIVE: HOPE ROOFING & CONSTRUCTION PHONE: 360-385-5653
PO BOX 1199
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOI NO MLA REQ'D - ADD BATHROOM INSIDE EXISTING GARAGE -
INTERIOR ONLY
NOT OUTSIDE FOOTPRINT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 5,203.00 ADD'L: HEAT TYPE
CODE EDITION. 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist:
Prop: 0 Prop: 1
Total: 0 Total: 1
Routing Date:
► IIa(4oS CI)
Type Amount Paid Bv: Date: Receipt: Approved/Date
APPROVED
Permit $125.25 KAS 11/26/08 102936
Plan Check $81.41 KAS 11/26/08 102936
State Building Code $4.50 KAS 11/26/08 102936 DEC 10 200g
Total: $211.16 Jefferson County Planning
& Building Department
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Jefferson County Building Division Permit Nur : BLD08-00493
Applicant: MC KEAN
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 20061International 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
Airseal
Insulation: Walls
Insulation: Ceiling
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FINAL INSPECTION 1�
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD08-00493
1.) PRIOR TO OCCUPANCY & BUILDING FINAL - FINAL APPROVAL OF SEPTIC
SEP07-00388 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT.
Owner: Jc.CF Ma ,eaw\ /;�;v ,, �i
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444IS°14 cook'� 621 JEFFERSOWOUNTY
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DEPARTMENT
SheridanStreet OF COMMUNITYortTownsend DEVELOPMENT
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360/379-4450 • 360/379-4451 Fax
Washington 98368
�qp� www.co.jefferson.wa.us/commdevelopment
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Master Permit Application MLA: iln MP FE0 `D
Project Description (include separate sheets as necessary):
ADD(*)tr RATH 1635c06, Ex(3 i 1pJ G- 6-AR60.6
Tax Parcel Number: 54, J g0.300 8 Property Size: (acres/square feet)
Site Address and/or Directions to Property:
029,2 E. M A c. ._ P t-1 , w fi . 5339
Property Owner(s)of Record: JEFF MG KF AiJ
Telephone: Fax: email:
Mailing Address: 24 2 E. M A v DE.
Apppcant/A�nt(if different from owner): HO PE ROOF/►3 4- . Co pSTRoCT/o►J
Telephone: II( 60) 381 -567 1 Fax: email:
Mailing Address: I O S Lo v c,s A 57 PT
Li 9 33 6
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What kind of Permit?(Check each box that applies
71Building ❑ Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
O Address ❑ Road Approach ❑ Short Plat**
❑ Home Business ❑ Cottage Industry 0 Binding Site Plan**
❑ Propane ❑ Long Plat**
❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
0 Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
0 Forest Practices Act/Release of Six-Year Moratorium ❑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 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 inspectio s. S s ccess and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli t he o s an " notice.
Signature: Date: //2,eto 8J'
The action or actions Ap cant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species an 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. ividual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are,. complian with J rson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer 4 onsi .. or a to and complying with the ESA. The Applicant has read this disclai er and 'gns and dates it below.
Signature: Date: //�Z64o,5--
G:\PermitCenteI\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc JJ
• 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
N°PE c-, - o- d CoN57RocTioff (30) ,3' 5-5453 (3bo 379 `8 /5'1
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New Wood Existing: Sewer
Addition i] Steel Proposed: j Bank i Community System
y Alteration/Remodel D. Concrete Total: I Height: i Individual System
C1 Repair : Masonry SEP Permit# (51-o6 b
Demolition [I Other: Bedrooms: Water Supply:
Existing: Setback: [1 Private well Li Two Party
Type of Heat:
Proposed: Public
Total: ,--- Name of System: P o p
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 Tank 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 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:
`70'G0
2nd Floor Heated Consistency Review:
Other Heated Base fee:
ta5 .a5
Mezzanine Additional Section: r__
Heated Basement Plan Check fee: glr 4/
1
Unheated Basement State Surcharge fee: `'.5o
Other Unheated Pot Water Review fee: 't
Garage/Carport SUBTOTAL eqg la
Decks 911/Rd Approach fee: ---
Other TOTAL: $ o g I, j IQ
-
Receipt Number: i 0a 336
Cash/Check Number:
Of I
ESTIMATED COST(REQUIRED) Date: 1 ��
•Fair arket value of all labo d materials foundation to finish
I �O 3 . Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc