HomeMy WebLinkAboutBLD2010-00151 i •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD10-00151 Received Date 5/11/2010
SITE ADDRESS: 231 COYLE RD Issue Date 6/2/2010
QUILCENE, 98376
APPLICANT: RODGER J BIASCA PHONE: 206-913-9266
STEVEN G LLORENTE JTWROS `t,Z 1.50:`f
4335 THACKERAY PL NE
SEATTLE WA 98105-6122 T 15+
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801334004 Section: 33 Township: 28N Range: 01W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, RODGER J BIASCA PHONE: 206-913-9266
if different: STEVEN G LLORENTE JTWROS
4335 THACKERAY PL NE
SEATTLE WA 98105-6122
PROJECT DESCRIPTION: DEMO EXSITING SFR
Directions
To Site:
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 6/2/2011.
REQUIRED INSPECTION:
FinalApprovaI 1-;'
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
SPECIAL CONDITIONS APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS FOR CASE#BLD10-00151:
1.) Existing system on site is SEP85-142, no review of any proposed future ues for this septic
system was done as a part of the proposed demolishion of the existing residence. Any
future residence on the site will require the septic system to meet current code.
I:\F_BLD_Permit_Propane.rpt 10/29/19
BLD10-00151
UILDING PERMIT APPLICAII6 Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00151 Received Date: 5/11/2010
SITE ADDRESS: 231 COYLE RD
QUILCENE, 98376
OWNER: RODGER J BIASCA PHONE: 206-913-9266
STEVEN G LLORENTE JTWROS
4335 THACKERAY PL NE
SEATTLE WA 98105-6122
SUBDIVISION: Block: Lot: T 15+
PARCEL NUMBER: 801334004 Section: 33 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: KEVIN COKER PHONE: 360-385-2739
814 GARFIELD ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOP DEMO EXSITING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM MAIN:
VALUATION
CODE EDITION: 2006 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amourif aid By: Date: Receipt: I 111 Permit $71.00 LYK 05/11/10 117670 APr 'bV E
State Building Code $4.50 LYK 05/11/10 117670 JUN c�c nU1U
Total: $75.50
Jefferson County Planning
&Building Department
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� � DEPARTMENT OF COMMUNITY DEVELOPMENT
I-' '`'• 621 Sheridan Street • Port Townsend •Washington 98368
tt 360/379-4450 • 360/379-4451 Fax
,.pf www.co jefferson.wa.us/commdevelopment
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Master Permit Application MLA: k >Q (11c '\-- 'b
in
Project Descnption(include separate sheets as necessary):oeomicxi of existing 2 harm house. +`
Tax Parcel 801334004 Property
Number: Size: 49 +/- acres (acres/square feet)
Site Address and/or Directions to Property: 231 Coyle Road, Quilcene, WA 98376
Property Owner(s)of Record: Rodger J Biasca and Steven G.Llorente
Telephone:206-913-9266 Fax: email: steve@industriatrcv.corn
Mailing Address: 4335 Thackeray Place NE,Seattle,WA 98105
ApplicantlAgent(if different from owner):
Telephone Fax: email
Mailing Address:
What kind of Permit?(Check each box that applies
VlBuilding [I Variance(Minor,Major or Reasonable Economic Use)
if Demolition Permit ❑Conditional Use[C(a), C(d),or C]**
LI Single Family ❑Garage Attached/Detached [I Discretionary"D"or Unnamed Use Classification
':il Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)**
I Commercial' 0 Boundary Line Adjustment
[1 Change of Use 0 Short Plat""
Address ❑ Road Approach ❑ Binding Site Plan**
O Home Business 11 Cottagelndustry [Ti Long Plat""
1-1 Propane ❑Planned Rural Residential Development(PRRD)/Amendments'"
U Sign Li Plat Vacation/Alteration'"
❑Allowed"Yes"Use Consistency Analysis ('I Shoreline Master Program Exemption/Permit Revisions"'
I1 Storrnwater Management I I Shoreline Management Substantial Development**
I'l Site Plan Approval Advance Determination(SPAAD)` ❑Shoreline Management Variance
IJ Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
f 'Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
1-I 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:
Q1uA4 A5 (S+,i eeitht l
DESIGNATION OF AGENT
I hereby designate J Evi.i) Co G act as y agent in matters relating to this application for permit(s).
OWNER SIGNATURE 1.1-�____ r Date: Lit,
By signing this application form, he i/29 Az,
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 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. Staff's and right of -ill be ssumed unless the applicant informs the County in writing at the
time of the a ication t al he or she wants prior n ti /
Signature: Date: Y `//° _
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 in tcidu I.group or ages n file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jeffers n developm de The pplicant acknowledges that he,she or' holds individual
and non-trans =able resson tbility for adhering to aryl ying with . The Ap cant has read this disclaimer d sign and dates it below
Signature. • --./ Date i/ '4'9' /a
i
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i'AI)iicun,i i::.ind Situ)*\cm.il\I.tre,t1 i'utnlfs\Thiporm Internet l'tk/'\()l.lat(\hl isirr I'rrmit-\pplictlinn 12.19? ur,d,,c
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BUILDER STATEMENT
The signer of this statement does hereby • U that the the Ow ers of the parcel referenced herein,that they are not licensed contractors and Mat
s�u th:::r:e
irudthe r spe or sibilityo •Der o actor fo a proposed project:-__ t `�? 7 Date //� l
GENERAL CONTRACTOR OR MAN'IFACTURED HOME INSTALLER. PHONE: FAX'
( ) ( ) —
MAILING ADDRESS: T ' / EMAIL' _
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER' PHONE ( ) FAX ( i
MAILING ADDRESS: EMAIL
Project Type: Frame Type: I Bathrooms: Shoreline: ; Type of Sewage Disposal:
a
New Wood Existing: 1 Sewer
Addition Steel Proposed: Bank Community System
Alteration/Remodel Concrete Total: Height ✓ Individual System
Repair Masonry SEP Permit#
I Demolition Other: — Bedrooms: Water Supply:
Existing: 2 Setback: Private well Two Party
Type of Heat: Proposed: Public I
Wood Total: Name of System.Spring
If this is a Commercial Protect 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 / Nc
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
;❑Underground Tank °Above ground Tank Size of Propane Tank.
❑Heat Stove 0 Cook Stove 0 Woodstove Q Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other
Is this appliance being installed in a Manufactured I 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
1126
2na Floor Heated -500 Consistency Review:
Other Heated Base fee r--/ [ -
Mezzanine Additional Section.
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee
Other Unheated Pot Water Review fee: ' e
50
Garage/Carport SUBTOTAL
— —
Decks 911/Rd ApproachI
30 fee I
Other TOTAL: $1 ._X%
Receipt Number:
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: �-
•Fair market value of all labor and materials foundation to finish -e�"''
Initials: -
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