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Home My WebLink AboutBLD2009-00309 � BLD09-00309 GILDING PERMIT APPLICATA' Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00309 Received Date: 9/16/2009 SITE ADDRESS: 74 BAYVIEW LN PORT TOWNSEND, 98368 OWNER: HOWARD W PEVEHOUSE TRTEE PHONE: YOSHIE E PEVEHOUSE TRTEE 74 BAYVIEW LN PORT TOWNSEND WA 983689617 DISCOVERY BAY HEIGHTS DIV 1 SUBDIVISION: Block: Lot: 24 PARCEL NUMBER: 947300024 Section: 32 TDwnship: 30 N Range: 01 W CONTRACTOR: BETTER HOMES HOME IMPROVEMENTS PHONE: 360-493-0507 3335 FRANCIS DR SE OLYMPIA WA 98503 Contractor's License BETTEHH088KF Expires 12/19/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOF NEW COVER FOR EXISTING DECK TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 10,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: 300 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: / otal: Routing Date: �__.,___ __ Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 LYK 09/16/09 1'10920 APPRc \/F1 Plan Check $117.81 LYK 09/16/09 1'10920 OCT , �lp� State Building Code $4.50 LYK 09/16/09 1'10920 c�;.:. Total: $303.56 J$ffecson County Plannin, 8 Building Dspartmen Jefferson County Building Alton Permit Nur.. BLD09-00309 Applicant: PEVEHOUSE TRTEE BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 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 Foundation Footing Framing 743( I,'6 Miscellaneous FINAL INSPECTION ;1)5\to is FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR �i4`1i, '�N 4eiK' a JEFFERSON CINTY ,,� DEPARTMENT OF COMMUNITY DEVELOPMENT .irik `1 621 Sheridan Street• Port Townsend Washington 98368 0 360/379-4450 • 360/379-4451 Fax 9p www.co.jefferson.wa.us/commdevelopment II0 8?N Master Permit Application MLA: L ) nk ea')% Project Description(include separate sheets as necessary): r - (204jA 0/zit jU .x I cam' rn1,A.t: c►-v,. . Tax Parcel Number: C L--1 ` r r}-4 Property Size: (acres/square feet) Site Address and/or Directions to Property: 79 N.i V. L p C tT'1 t W A Property Owner(s)of Record: il o.vr„tr ci - /`,'-4 h r C PerA v Y LA,d vSN Telephone: ' Fax: email: Mailing Address: '•'i tt,,/ Vi..c Vilt` Applicant/Agent(if different from owner): iS is f"fe rr H C-h-e< ( re in. % ) Telephone: b 0 -- S 90 -I Fax: email: Mailing Address: C'i 2 r - it ' rot ITC O What kind of Permit?(Check each box that applies tiaBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** Cl Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** L,LP i p 200° ❑Home Business 0 Cottage Industry 0 Binding Site Plan*" ❑Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 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*" ❑Temporary Use ❑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�/.,/e fie R...itic,4,»/� 7d � to act as my agent in matters relating to this application for permit(s). •OWNER SIGNATURE ilet-G C0 i' W/ ._4 ,t-eLL4..-e, 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 attorneys 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the ime of the appl tion that h or' K Jshe/wa rior notice. ignature:•,/64L�i'"C ✓ uc crQ--k- Date: e action or actions Applicant will undertake as 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 issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your n(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he.she or it holds individual ion-transferable responsibility foraddering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ture:�1c12te- e 24/ 11�44—e—ec�c-xF--*' Date: Center\###FORMS###\DRD FORMS\Master Permit Application 5-29-08doc • 410 BUILDER STATEMENT The signer of this tement 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 n the resp -• of the General Contractor for the proposed pro" l Signature: Date: 2--I e'1 GENERAL CONTRAC R OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Bette Ir (-tc s h t (v No 49 - O C O 7 ( ) MAILING ADDRESS: 7(}3 L NU a ry,z.,� t IZ EMAIL: CONTRACTOR'S LICENSE ��+r L / l� N MBN R NUMBER: r' f H H R3 V, ARCHITECT/ENGINEER: ick I S U S A PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: _ I Sewer ,ice Addition ❑ Steel Proposed: _ Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ Setback: I Private well ❑ Two Party Type of Heat: Proposed: _ ❑ Public Total: _ 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 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: __ __ 2f4 Floor Heated Consistency Review: Other Heated Base fee: I -3 • Mezzanine Additional Section: Heated Basement Plan Check fee: I ( 1 g I Unheated Basement State Surcharge fee: '` Other Unheated Pot Water Review fee: ,--- Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: .,--- :TOTAL $ Other \` � ",v2 -k Leli- � 30 o A Receipt Number. 11 v 1Cjal Cash/Check Number: I Lk13-) ESTIMATED COST(REQUIRED) Date: /��, .Fair arket value of all labor and materials foundation to finish _I lI' t- I E &b v Initials: i G:\PermitCcnter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0 0 LO a_ UJ Cl) 1 i ' it \ 1 ik i 4 , 1 , (...k A . 4 ( III M 3- N a o it. . . 1. = M Um �y, T ' J :? irr. i..2-. i %a. Li I i !I Z