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BLD2009-00420
1143 UILDING PERMIT APPLICAON MRLA09-00p418 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00420 Received Date: 12/22/2009 SITE ADDRESS: 80 CASCADE PL#120 PORT LUDLOW, 98365 OWNER: RICHARD D JOHNSTON PHONE: 360-620-1528 PAULA G JOHNSTON PO BOX 65186 PORT LUDLOW WA 983650186 THE ADMIRALTY SUBDIVISION: Block: Lot: 30 PARCEL NUMBER: 990300130 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: RICHARD BERG ARCHITECTS PHONE: 360-379-8090 719 TAYLOR ST (360) 379-8324 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr INTERIOR REMODEL & DECK ADDITION TYPE OF WORK 05+ SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 60,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 100 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: -1 Prop: 0 Total: 1 tat: 2 — Routing Date: la ,-9s-oq Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $713.75 LYK 12/22/09 113755 APPROVED Plan Check $463.94 LYK 12/22/09 113755 State Building Code $4.50 LYK 12/22/09 113755 MAR \ 201U Potable Water Application $62.00 LYK 12/22/09 113755 Total: $1,244.19 Jefferson County Planning & Building Department Jefferson County Building Divion Permit Numb.BLD09-00420 Applicant: JOHNSTON BUILDING PERMIT INSPECTION APPROVALS Npplicable 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 Foundation Footing Under Floor Framing Under Floor Framing Rough-in Plumbing Framing Airseal Insulation: Walls Insulation: Floors Insulation: Ceiling Wallboard Nailing Mechanical Systems FINAL INSPECTION 42,..b) 1� j FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00420 1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) This parcel is within a no shooting area per JCC 8.50. • �zON c0lir 44' JEFFERSON COUNTY G7 � � DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 \ ,..,....12 .� ,, 360/379-4450 • 360/379-4451 Fax i',9 pip www.co.jefferson.wa.us/commdevelopment IN DEC 2 2 -.,,, Master Permit Application MLA: (JR` — ' k 6 Projeci Description (include separate sheets as necessary): RENOVATE IraTerzlot\ OF lcNPo Al.)D Visrt 0 b 2ecl . TWa NUJ TARS. Tax Parcel Number: /e 0 3 aj 1 3 p Property Size: ILI 6.if 561,F-7-, (acres/square feet) Site Address and/or Directions to Property: S6 CASCAr>e Pc #/ZO *03 A-C,-es • PnlR-•may co vays) Pa 7 Gva oW J WA `��9345 Property Owner(s)of Record: PA 0149 V PC* ,ro,JSr",A1. Telephone: i'360- 6 2O- $2$ Fax: email: rt.ckpOtly i (Z.&„_ Mailing Address: Po ,130 C 4578 6 Po _7 LvtI.4W WA ?8 3"3 6 f / eabfespred.can. Applicant/Agent(if different from owner): f2Ie&rR0 862, *,2C/f/7 GTx Telephone: 379- 8a90 Fax: 3"79- 3 3 25z email: t?C/d&rbl c rfc oj-4 Mailing Address: 711 TAYtop. 5T, IPDR —7114/4SeJl? rWr� 98368 amid/cot',C 17Z-L hat kind of Permit?(Check each box that applies 0 Lot or Road Segregation :uilding 0 Critical Areas Stewardship Plan 0 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 ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment 0 Address ❑ Road Approach ❑Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane 0 Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration'* ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑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 ❑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: P�1 y dm " \ r DESIGNATION OF AGENT I hereby designate . to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ,,����- 1 .� �Ef�CG Date: ` 2-472P<-1()9 By signing this application form,the owner/a nt attests hat the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood o 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 ent to Je rson County and its employees,representatives or agents for the sole purpose of application review and any required •nspe;'ons. 'ta s and ri t of entry will be assumed unless the applicant informs the County in writing at the time of the application �Ql' orr- w nt • n Signature: / ,t_ Date: /2?-2;2,2-62 The action or actions Applicant will undert e 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 otential"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 ill not violate the ES• Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you re n compli nce with -Yeffe County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera sponsi . y for ad".,-: o com I I with the ESA. The Applicant has read this d claimer and signs nd dates it below. r Signature: �r,C 1.-(' ___--0----* Date: 12() / AO BUILDER STATEMENT The signer of this ;hereby ,rfy that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass wieemenOoes �ds�pon i . e General Contractor for the proposed project. ' Date: /�-2 �' Signature: , PHONE: Fes' GENERAL CONTRACTOR OR NUFACTURED HOME INSTALLER: ( ) ( ) EMAIL: MAILING ADDRESS: WAINS CONTRACTORS LICENSE NUMBER NUMBER: PHONE ( ) FAX:( ) ARCHITECT/ENGINEER: EMAIL MAILING ADDRESS: Frame Type: Bathrooms: Shoreline: T pe of Sewage Disposal: Project Type: X Wood 'Existing: 2 Sewer ri New Alteration/n I'/ Steel Proposed: CP Bank ❑ Community System letAlteration/ emodel ❑ Concrete❑ Total: _a_a Height: , LI Individual System 1 5 -So. SEP Permit# u Repair ❑ Masonry Water Supply: ❑ Other: Bedrooms: 7 Demolition Existing: 2. Setback: H Private well ❑ Two Party Proposed: -__j____- 2 t Public Type of Heat: Total: ( J D Name of System: If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: 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. S Current Proposed For Office Use Only Amount Revision quare F ootage EH Bld App Review: Main Floor Heated /2 5 0 c -web 2 Floor Heated lyrJ Consistency Review: — - .�P (- 7 I G Other Heated O Base fee: 13 Mezzanine © Additional Section: `___ l'' Plan Check fee: 41(�_3 Cf.'1' Heated Basement d � Unheated Basement O State Surcharge fee: A , i--a.) Other Unheated D Pot Water Review fee: i ��� Garage/Carport SUBTOTAL Decks _ 911/Rd Approach fee: C r Other � TOTAL: $ • "1 Receipt Number: \ :2)--c7 Cash/Check Number: •ESTIMATED COST(REQUIRED) Date: I air market alue of all labor nil materials foundation to finish Initials: 4 .0000 ,-,.. •.,____--\1 444-MrlD*4c+444.4\ran n cr\n 1\fc\r,..—,._..7l1:7 7l C......-\T(.. ..T),.....+:. .5....1:,-...4"..c 10 Aft,a,-,, , XS 0 1� svalila 6.l pmpi-top.ipt,Ra G9 8b ,vim 'MO1Q(I-i J Od 9 • (Li = trz0a-bL8(090 NY4 OM JINf '� V-1d 3C1 05'd9 Og (�� 01:08-171_r(090 `3NOHd I V I ®®1_ I I IN �IL� " VI d Q9�8b`dM'aN35NMol 121od N Ol S I V n O I� 1 1a-aar5 2101,0i1}AL �I`✓I il IN o . id 'S19311H9V ON39 CINVH9IN 0]GdO c 'NOd l9CIOWGN t o W x2 4z4. 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