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Home My WebLink AboutBLD2009-00302 OJILDING PERMIT APPLICATJ BLRD09-003302 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00302 Received Date: 9/14/2009 SITE ADDRESS: 32 DUNGENESS PL PORT TOWNSEND, 98368 OWNER: JULIE H HOTARD PHONE: 360-385-1405 LAWRENCE J OSTERMAN 32 DUNGENESS PL PORT TOWNSEND WA 98368-9413 CAPE GEORGE COLONY DIV 7 SUBDIVISION: Block: 14 Lot: 8 PARCEL NUMBER: 939601408 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: (360)379-6977 PETE DUFFY PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License BLUEHCC109D8 Expires 8/19/2010 REPRESENTATIVE: BLUE HERON CONSTRUCTION PHONE: 360-643-3553 PEET DUFFY PO BOX 718 PROJECT DESCRIPTIOP INTERIOR REMODEL & ADD WINDOW AND BATHROOM TO BASEMENT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 20,000.00 ADD'L: HEAT TYPE: EEE 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: CAPE GEO BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 1 Total: 2 Totar" 3 Routin Date: Type Amount Paid v: Date: Receipt: Approved/Date Permit $321.25 LYK 09/14/09 110904 PPROVED Plan Check $208.81 LYK 09/14/09 110904 State Building Code $4.50 LYK 09/14/09 110904 SEP I co 2009 Potable Water Application $62.00 LYK 09/14/09 110904 Jefferson County Planning Total: $596.56 & Building Department Jefferson County Building Dillon Permit Numb•BLD09-00302 Applicant: HOTARD 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 Rough-in Plumbing /71 4A/6 cK — Framing ft-2_-eie/ _S c•a'►z4- -- Framing 'r9 s% 49� C4_/74 L. `.l !f'F 61/1-- Insulation: Walls ; _i?.- Wallboard Nailing FINAL INSPECTION ,)..\3t41 r r FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VAL.ID FOR ONE YEAR • 40 r- \,..,„ ON L,O� JEFFERSON COUNTY (g )` `4 621 Sheridan Street• Port Townsend •Washington 98368 � 360/379-4450 • 360/379-4451 Fax "KIN��O www.co.jefferson.wa.us/commdevelopment pi LA Master Permit Application MLA: d Project Description(include separate sheets as necessary): g-e ag- ( S add ta-Fhrao••• ia- 6.(1ewve„.4 Ad' v/,..ctu✓\) 'N &At Nnfet..+ • (-'(OJT' Cd✓{Ale. Tax Parcel Number: et 39 d/ 4' $ Property Size: I 2)(072- if 4. (acres/square feet) Site Address and/or Directions to Property: )-- (01/4J141Cn1$5 Pea Property Owner(s)of Record: i-utr�.t (?S4Crman , T., Ii'e, ;4o14rc( Telephone: 3 SS i`(o5 1 Fax: email: Mailing Address: " 2. r0Q„' ye t'i Applicant/Agent(if different from owner): ?z[t rbJc 3(Je, tfOns" (o„tfi• Telephone: (o`f 5 3 5-6-3 Fax: 185- <I 331— email: > Itefddrieq; ;.,t,(a AA Mailing Address: r .Q, 2.oy 71v , 2 ii 1 owAira , gU'63 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation uilding e,�,.4014_( <i�J ia•I rt- 4- W,,j6"' 0 Critical Areas Stewardship Plan ' Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) 0 Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]'"` 0 Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification 0 Commercial* 0 Special Use(Essential Public Facilities),** 0 Change of Use 0 Boundary Line Adjustment e❑ Address 0 Road Approach 0 Short Plat** eft \ ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** //_ 0 Propane 0 Long Plat** ' ❑ Sign - 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plal Vacation/Alteration** 0 Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 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 ❑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 c to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE / Date: y II 0/o `/ By signing this application orm,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 ail 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 application that he r s e w prior notice. Signature: . Date: �Tof 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: i -4i Date: 2/1 0 9' 9 • 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: (S ) ;A---- Y r (36a )3t3.- 4/335-- MAILING ADDRESS: .O e 7,0 l` 7(8 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: ?LU t. 14 Cc i a C' DO NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 0 New Wood Existing: 2 ❑ Sewer ❑ Addition ❑ Steel Proposed: l Bank ❑ Community System ikI Alteration/Remodel ❑ Concrete Total: 3 Height: ❑ Individual System Li Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public i c r ;L Total: i ( 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 _--4- - Proposed _--- IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes /( ' 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 /�oj 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 #'-Office U r _ AmountRevision Main Floor Heated i 7 q Z " EH Bld App Review: 2n°Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement 5 98 Plan Check fee: (Llr, ,.� L 20Y. - Unheated Basement State Surcharge fee: U 4(5-O Other Unheated Pot Water Review fee: Garage/Carport -21 L1 r SUBTOTAL t la3 `IQSb Decks '11 ' 911/Rd Approach fee: Other TOTAL: $ 3� .0 b Receipt Number: // i1 C) V `� � � 1 Cash/Check Number: [ V 1 V' ie.0 6 vv1 6 47 6 ESTIMATED COST(REQUIRED) Date: / .Fair market v770 e of all labor and materials foundation to finish - '- 00 0 p' Initials: FILE COPY / d 2,0 Lo % r 13.L o cN /<f C'ft/'E nRGQ Coo La Di�/s�anr 7 CCeRDp��/Y�Gy�ropr,�� , %-1 / 1,V %tiE r6 v�V%V�Ji` 32 17 % 22 MWM On MO. i0 CLIMMfw. 0 GZ E-xks+, — — G r), 36,72' 13,a7 LAtl A �f✓) U JEFFERSON COUNTY DCD BUILDING PLAN REVIEW ❑ APPROVED AS SUBMITTED APPROVED AS NOTED ❑ REJECTED Date 9 -16 11. Reviewer_ NOTICE_ Plans are approved excepting any en ors or omissions. All work must pass Inspection In conformance with all applicable codes and regulations. iD 0.N G JG s"S / ZACF SEP 14 2009 ry a R r Contact the Building Department at (360) - 379-41• 0 prior to making changes or revisi.. , to the anoroved ninnc N 0 (ay 97