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HomeMy WebLinkAboutBLD2009-00039 BLD09-00039 03UILDING PERMIT APPLICANON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00039 Received Date: 2/17/2009 SITE ADDRESS: 133 BALDWIN LN PORT LUDLOW, 98365 OWNER: REINHOLD G PFLUGFELDER PHONE: 360-437-9222 WANDA GRIFFIN PFLUGFELDER 133 BALDWIN LN PORT LUDLOW WA 98365-9615 PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 990600108 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: PO BOX 3 PORT GAMBLE WA 98364-0003 Contractor's License RIGGSC*028RW Expires 5/2/2010 REPRESENTATIVE: DAVID RIGGS PHONE: 360-271-3161 PO BOX 3 PORT GAMBLE WA 98364 PROJECT DESCRIPTION ENCLOSE COVERED PORCH TO EXPAND LIVING ROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 200 VALUATION 19,366.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 Total: 2 Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: pproved/Date Permit $321.25 LYK 02/17/09 105374 -PR r Plan Check $208.81 LYK 02/17/09 ��� State Building Code $4.50 LYK 02/17/09 MAR _3 "",' Total: $534.56 'son County PJa nin &.Buildino Deeerrtma,- BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00039 Received Date: 2/17/2009 SITE ADDRESS: 133 BALDWIN LN Issue Date 3/3/2009 PORT LUDLOW, 98365 Expiration Date 3/3/2010 OWNER: REINHOLD G PFLUGFELDER PHONE: 360-437-9222 WANDA GRIFFIN PFLUGFELDER 133 BALDWIN LN PORT LUDLOW WA 98365-9615 PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 990600108 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: PO BOX 3 PORT GAMBLE WA 98364-0003 Contractor's License RIGGSC*028RW Expires 5/2/2010 PROJECT DESCRIPTION: ENCLOSE COVERED PORCH TO EXPAND LIVING ROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 200 VALUATION 19,366.00 ADD'L: HEAT TYPE PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $321.25 LYK 02/17/09 105374 Exist: 2 Exist: 2 Plan Check $208.81 LYK 02/17/09 Prop: 0 Prop: 0 State Building Code $4.50 LYK 02/17/09 Total: 2 Total: 2 Total: $534.56 Directions to Site: SEE DIRECTIONS & MAP 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 Jefferson County Building Giksion Permit Nu•r: BLD09-00039 Applicant: PFLUGFELDER 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 1 -I to Hei CO11;"'w tMv'S L'•rvl, Foundation Footing IIn ` C\;\CGt1 Under Floor Framing •.j- Ext. Shear Wall Nailing '3 -11-01 f}p) ,Jvir BttiuCinA Framing C'F'( 1 � Airseal Insulation: Walls Insulation: Floors _ 2\7'0 Insulation: Ceiling Wallboard Nailing �l Or./1 51)4 V 1 Heat/Chimney Clearance l u` Fireplace Insert FINAL INSPECTION )2 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR lei-ON ,o6 JEFFERSOP 3UNTY • W A DEPARTMENT OF COMMUNITY DEVELOPMENT ~' ` '4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 4, p www.co.jefferson.wa.us/commdevelopment360/379-4451Fax q SINGS Master Permit Application MLA: ' ) Cal . C 'J Project Description(include separate sheets as necessary): 7i11(''41 S<L ( ,D t/ter,f1c.i r—C —Jib Ji a PI C� ill Li/Pt CI ,'c?e i-y, Tax Parcel Number: AG10 O 0 /Off Property Siz (acres/square/ f�I.7� Sig i ( quare feet) Site Address and/or Directions to Property: O Property Owner(s)of Record: e Telephone: t — a A Fax: email: Mailing Address: /79 81, cl wi h N• Po r /O W/ WA y �' 3t S Applicant/Agent(irdifferent from owner): p.0 9 S / Telephone: ja �7 ( 3/‘ / Fax:,3425 ?gQ 4 email:�auid r i`gS� �., p eJ- Mailing Address: r:O. �•a�c 3 P�- . t a w�b� [,e,)„}- Q$RAy v What kind of Permit?(Check each box that applies ❑Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment 0 Address 0 Road Approach ❑ Short Plat** ❑ Home Business 0 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 ❑ 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 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 designatef-b i CI �j g to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE >�4 Date: A//7-/o f 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 app' a' n that h or she w is ri r notice. Signature: //�/©q Date: a-�`/ / The action or actions App icant 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-tra ferable e onsibilit�,r fo ad ering to and complying with the ESA. The Applicant has read this disci 'mer a d signs and dates it below. Signature Date: 2 7/7 0 9 G:\PemutCenter\###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 ass in the responsibility of the Gen ral Contractor for the proposed proje 4 Date: a,7! 1of GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: NG !� s e'-- 51r (3 ,T?/ 3/6/ )7 ;3C%`c� MAILIADDR SS: P-,c , "mil 3 P1A, a„L./ ei$. 6y EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: / 5c A- O2551 -) NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Wood Existing: -` Sewer ❑ Addition Li Steel Proposed: 6 Bank , .❑ Community System id Alteration/Remodel A Concrete Total: Height: El Individual System ❑ Repair A Masonry SEP Permit# ❑ Demolition C! Other: Bedrooms: Water Supply: Existing: .2 Setback: H Private well H Two Party Type of Heat: Proposed: D V Public Total: ,-7__ 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove 1CFireplace 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 Bid App Review: 2f°Floor Heated — —Consistency Review: ? __ Other Heated Base fee: 3a I . as Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 4.50 Other Unheated Pot Water Review fee: Garage/Carport SIC SUBTOTAL Decks 911/Rd Approach fee: �/ Other TOTAL: $�3t `lc) Receipt Number: I i 3-74 Cash/Check Number: 8/D75 ESTIMATED COST(REQUIRED) Date: � .Fair market value of all labor and materials foundation to finish t 7 / 7 ,< Initials: G:\PermitCenter\###FORMS###\DRL)FORMS\Master Permit Application 5-29-08.doc .... �e - "ter. -••• �,,.�r/, (�', c. x w NI LANE ,x_, , .,,„, 's--; 4 . ID A 9 . ...... L 1.4.„44v 4 ,,::, \\0.4,,t,t-.... cl 1:140.4 „..... it .. ga,,,,, 2, - . 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