HomeMy WebLinkAboutBLD2009-00328 •UILDING PERMIT APPLICAT")N BLD09-00328
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00328 Received Date: 9/30/2009
SITE ADDRESS: 37 QUILCENE PL
PORT TOWNSEND, 98368
OWNER: CHARLES BULLEN TRUSTEE PHONE: 360-385-2444
JO ANNE ETHERIDGE TRUSTEE
37 QUILCENE PL
PORT TOWNSEND WA 98368-943'1 CAPE GEORGE COLONY DIV 4
SUBDIVISION: Block: 10 Lot: 36-37
PARCEL NUMBER: 938701034 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION INTERIOR REMODEL & ENCLOSE EXISTING DECKS
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT
VALUATION 32,000.00 MAIN: 76
CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE
OCCUPANCY: HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 3
Prop: 0 Prop: 0
Total: 2 Total: 3
Routing Date:
C - .30 CC4
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $461.95 LYK 09/30/09 111029 APPROVED
Plan Check $300.27 LYK 09/30/09 111029
State Building Code $4.50 LYK 09/30/09 111029
Total: $766.72 t i 2009
Jefferson County Planning
& Building Department
Jefferson County Building Dion Permit Nu.: BLD09-00328
Applicant: BULLEN TRUSTEE
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
Erosion Control
Foundation Footing 1 V-2c o q
Footing Drains
Foundation Stem Wall 1 o-u -co
Underground Plumbing
Under Floor Framing V.Z?09
Straps(hold downs)
Ext. Shear Wall Nailing //-2-09 92— cit. 1 4./�I 6,4c
Rough-in Plumbing
Framing
Blocking
Airseal
Insulation: Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing 1 D —WO (1,"Gas Line: Interior p
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted r g -'t_/0 /
FINAL INSPECTION /9—II—to /,,
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
.o,sON CO JEFFERSO OUNTY •
W ' ' DEPARTMENT OF COMMUNITY DEVELOPMENT
,-3 ` `� 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
16. A.-, www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: OD ON, , offs,
Project Description(i ude separate sheets as necessary): Rebuild master bathroom/master closet/laundry room including moving exterior walls and moving plumbing.
i,.
I i1 itl(X f' IIYY c t 4 1CfF, l XtS i 1 ( ] �..
Tax Parcel 938701034 Pro y 5 acres
Number: Size: (acres/square feet)
Site Address and/or Directions to Property: 37 Quilcene PI, Port Townsend, WA 98368
Property Owner(s)of Record:Charles Bullen,Jo Anne Etheridge,trustees-Bullen Etheridge Family Trust
Telephone:360.385.2444 Fax: 360.343.9096 email: ocs@olympus.net
Mailing Address: 37 Quilcene PI,Port Townsend,WA 98368
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
❑Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a), C(d),or C]**
VI Single Family R maakt ❑ Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities)**
❑ Commercial* ❑ Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach ❑ Binding Site Plan**
❑ Home Business ❑Cottagelndustry 0 Long Plat**
❑ Propane ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
DES ATION OF AGENT
I hereby designate Eric Kuzma �> t act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE '�G �� Date: September 28,2009
By signing this application form,the owner/agent attests t at the information vided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or 'n 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 attomey'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 acce a.. rt. t of entry will be assumed unless the applicant informs the County in writing at the
time of the applica' or s ants prior no•t
Signature: �67 r� '` lir Date: September 28, 2009
The action or actions Applicant will undertake as a resu of the issuance is permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"fa 'of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson Co ' y 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 Jefferso• oun,y development code.The Applicant acknowledges that he,she or it holds individual
and non-transferabzpn 'bility/dhering .._ ;awl • . itb the SA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ;l . . /� 1e...) Date: September 28,2009
C:\Documents and Settings\carat\T.ocal Settings\Tema. . -Internet Files\OIX86\Master Permit Anolication 12-19-2006.doc
• •
BUILDER STATEMENT
The signer of this statement does hereby certify that are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assumin.the responsilail. of the .ntr:ctor for the proposed project.
Signature: / l` �/ /�J►��J•..411"P, d 0,6ate: September 28, 2009
GENERAL CONTRACTOR OR MANUFACTU:'ED 'OME INSTALLER: / PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE
( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New fi Wood Existing: 2.5 Ii Sewer
Addition L Steel Proposed: Bank _I Community System
I Alteration/Remodel I Concrete Total: 5 Height: ✓ Individual System
Repair I 1 Masonry SEP Permit#
JJ Demolition L Bedrooms:Other: Water Supply:
Existing: 2 Setback: ❑ Private well L Two Party
Type of Heat: Proposed: g5 H Public
Propane,electric Total: 2
Name of System:Cape George
Colony water 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:
0 Underground Tank 0Above ground Tank Size of Propane Tank:
❑Heat Stove ❑Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑Pellet Stove 0 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 1309.75 I EH Bld App Review:
2n0 Floor Heated Consistency Review:
Other Heated Base fee: -Z-I
Mezzanine Additional Section:
Heated Basement 1066 Plan Check fee:
Unheated Basement 120 State Surcharge fee: _
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
576 —1(,44, '72
Decks 911/Rd Approach fee:
1044 •X l S T1 --1
Other TOTAL: $ _." .� .7
Receipt Number: ,) 1 1 f oxR
Cash/Check Number:
�J
1386.25 r—
� C
ESTIMATED COST(REQUIRED) Date: C
.Fair market value of all labor and materials foundation to finish...
/0/ 0 Initials:
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-I9-2006.doc
< Cn _N, w t..
I
CTI--i: ! h9
QKJ• m 73 Cp r C7 z 1 Ii
O�'�`� O C7Z y 0 z -�-I -
m O _ D — Z _ OO XI ..
v o -0 -1 1— < ' 33 rn •
z 0 n III
m c, o 0 11—
c) � E
d001 ll(1dN1(1 O ,— n o
D z
w
m � z
n O O ➢ Ai-1 O z ni
O 73 73 Vz
a z n
m
rn is
NJ c) C
z,
c-)
mUll
rn
0 Q. T p rn 11�
II v za lll •o , -a
o I
wo
o
z A -n
Oa -pi
a1= az 0 d i C- I z � O O
," —I Alk -- ..... tr M tiz illr 'v1111
Qm 000a O_K o Z z 11I113 m q 1°a am 7 D D 13Z • II
Kti � �;� < v, cn r' r n 111
:ISrii 3 D< Oz C Z O / 3
1 o
' v OkJ
�� n1It
a Cm
Wt , 2. c 7C w���
�, ,___()
oIo
CP
I w.nO� w
n — X15rf — �',— A i.../
CJI
rn x J I -,\ r
D -
—. — If,— f \ ---1 �
1— � �-- \
,_
5 �� -4------)
1
xi
1 73 I I1_ I_
w 1 11 g , e 17 1171,C'u
o � �j I -
~ C' 1 I TI
\ L
a; 1 -- 1 7o
`- \ 1 _— 1 1 0 m cn `'," mom.
0-2 1---kr -u-.' 1 ,
G as ,+ % 1 1 70 , x -I \ rn_ \
V) C!1 r. \
11 11 X J `-i- � E i! I v
s: \ 111 1 1 l n O I m
`i a 1 1 l`w� " 11 m 0
1 1 _"—" 1 lJ m
1
-:� G 1 J-�— n
(t W I 1 rTt K.) f r l o
� r 3 °y� o Z
CM I30'-0" -
EF: e) g i 0 o
ain
AA
rn
YImWImPnoWWWWWIWI ;�Y� L .wsstlCW6emWI NInWInwnAnINLunu tl IIIIWtlPIUINPNNnmInilliiniuuN����yyW- u II IINa 11 I I 8
Ilf
NAu) REMODEL FOR: i SITE PLAN PT. DESIGN & Do l
BULLEN / ETNERiDGE 07 r m
U, - T IMBERFRAME 'A;: D N -13
37 QUILCENE PL. 3265 EDDY STREET m Cr) /
PROJECT ECT INFORMATION FO RMATI � PORT TOWNSEND,WA 98368 ;� p � *°`
PORT TOWNSEND, WA 98368 ON . Phone: (360)379-3940 Z o
E-mail: erckuzrne@msn.com
I' W61 W"I Y IIIIIIIIANUPANNrL L„.,I,LYmWbYMNNNI INIIIWXIIIuI rI 19IYRIIIIWIIIIIINIflWN 9 eC®RW ,II I m1p ICIYII IIIIIAIWIIIIIIIIIIPIIINIII NWPIIIIIIIIYI
�k IQ0�1LI�I�lE :- on --IMIZEWAIWWWWWIUIWWulI,llllllllllllllllllllllwr�l1lllIII1IICC1112ng�I,.,„
13L.D 51 - 3Z 6 1�tilt
ti% S. evtd e
- i t-TT
0 X iiiii)
-TT I-TT
(51 b -(Cs1 Ilk) ,
� v V: W - � z _
O
b z b y.
-13
z
1
D
z
/ 6'-bx
a
rn
n
77
0 0
i
rr
3
/ �--- , 1 H
w_
I
H
l
L ____, ,____ (1, 0 >
f/ iii Fri
l) \ \ �) " o
O ,..,
m
t . r
J
70 GI W w CO M PArrj
F.-.5
1rti
N1 6 p Al
0 II o b
a n 8
A
/ o - _
® .. �
rn
® �
kr, I L
I7
��� "7 v 1
k L
3'-0" 8'-0" / k 2Y-0 / 3'-0" p"
/ 81 /
_ -1 K.)� r� yc oA o A
cj g A
J 0
70
7
7
•70
.
IK,
•
. D
rti
ril c,
17C „6,
°niruir6"18iIIIICilililll„1u911ni�6ruxnnl.�ll11 r
III' mxwwwrrrrnrmmnnnmrnr mnwmwrxrrrxxr.mrxxrurxxwrwmxrwnnnmumx.wwwwrrurxrrrenxmwr.xrrrrrrxrrxnwrrrr. L'Arnmxwrxru rnrmmnwmmm�nnn rrmm�xuwnrxumrwmr°rnonun'lilCIC81GC8uC9PC u'iniiiCle�"I
iinii�il I I r nnnnwmlul.xrwxrrrm rrr rr w l xrrxl.mxmlrrrrrrxnlrrrrrwrrlrrrrrrinmmrrrrrM1rIrrrrmxr n rrr�� nrrn II nuurrrrnnn rrr r xtwrnru mrn nll imwnnurrrnruruwrmrn
.o� 'iiiiuiiiilifiiiiuiliiillii fC"'IIRRIIII"�VIIIUIIP I...'."'°I rrrr ruuuunrrrrllrunuuxuwmnrrnnrurm nm
N I IN
iill II I nmlru,rrluiii nnrmrwarmnnrnnmwnm'nli'gjllAryllpl""tlMiilxr�ilr'rnuiiiiiiuiilwnn lil llilru'uiruilimieyjl j�u
o REMODEL FOR: i
P.T. DESIGN Irrr Yrrxrrrmpl IIIII
" EXISTING FLOOR PLAN to
III BULLEN / ETHERIDGE I'l III" `�
"" T IMBERFRAMEr _ ti
�Vv/ 1p
II 114 � IIIR i 37 QUILCENE PL. 3265 EDDY STREET 10� a N �18
m IIIII' II' m 1.
PORT TOWNSEND,WA 98368 i - ,'
"' FOUNDATION PLAN
""' PORT TOWNSEND, WA 98368 ;;� Phew (360)379-3940 �u
1M Ili Ill�i I14
nIM1
"' jl xu, E-marl: edckuzme®msn.com
�i wrlrrrmmxrw,xrmmxxrrrnrmrrrrrrrxrnxrrrrrrrrrrrrrrrnmmrrrmmrrrrrrrmrnn rrwrrxmnrwrrrrrrre 91r"x�IrYrrllrrwl r umnnnm rrrrnrrrrru,r.rrrrrrwr.wxwrrrrrrrrnrrx rrrr� IlrrrrnlilllrlllwllYlll I ur nrnurnu.r rrr rr r I.Y""I"IIIIIIMImi r'� r
LI�IIIx'C".:rr.rrrrrrxrrrn rr r rrr rnr I xx r nrnrrrrmxrwrrnrrxrrxx..r rrrrrr r rllxlr.m,..rlrllr.r..r w mrmnrmxwrre v'
r rrnurrnrurrnnnmQxrrrmm�rrnrrrrxwxxrnrnrrrm�rrrr "rwx.IWiWIIYII"IIN'.M r rrrr rmmnnxpmwrnwrrrrrrnrnrnxnm�nrr rnunrrrrrnnnonn.nrurrrmwrenurrmrrmxrmrulrrnuunrrrrrrr�nninrwurrurrrrrrrmunwwrxnnnrrurrwrwrr. rrr r II:Iiil�nllUllllulllilM1llllr w ww ur.mrrrnxmxrrxmrmxxmnwxrnrrnmrnrrnrnmxrrxr rrrrrr it Illnlll