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Home My WebLink AboutBLD2010-00219 • BUILDING PERMIT APPLICIIIIhON BL Revviewiew T Tyy219 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00219 Received Date: 6/17/2010 SITE ADDRESS: 10 PINECREST CT PORT TOWNSEND, 98368 OWNER: ANN D EVANS PHONE: 360-379-8022 10 PINECREST CT PORT TOWNSEND WA 983689547 KALA POINT#7 SUBDIVISION: Block: Lot: 413 PARCEL NUMBER: 965000271 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: J & S CONSTRUCTION 1561 IRONDALE RD PHONE: 360-379-8966 PORT HADLOCK WA 98339 Contractor's License JSCONSC909LJ Expires 6/11/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW DECK & ADDITION TO EXISTING DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK VALUATION 7,125.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 510 SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: r...,._...__. Type ......AmoWnt Paid"" By: Date: Receipt: proved/Date Permit $153.25 LYK 06/17/10 117871 P® Plan Check $99.61 LYK 06/17/10 117871 jj V State Building Code $4.50 LYK 06/17/10 117871 ,f(f 2j� 2010 Total: $257.36 Jefferson Count & 8uildin Y Planning 9 Department Jefferson County Buildingvision Permit Ier: BLD10-00219 Applicant: EVANS 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 Setbacks Foundation Footing Framing ,. 'I(.� F Blocking L` )4 to FINAL INSPECTION 62 ,161 10 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 0 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD10-00219 Received Date: 6/17/2010 SITE ADDRESS: 10 PINECREST CT Issue Date 6/23/2010 PORT TOWNSEND, 98368 Expiration Date 6/23/2011 OWNER: ANN D EVANS PHONE: 360-379-8022 10 PINECREST CT PORT TOWNSEND WA 983689547 SUBDIVISION: KALA POINT#7 Block: Lot: 413 PARCEL NUMBER: 965000271 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: J & S CONSTRUCTION 1561 IRONDALE RD PHONE: 360-379-8966 PORT HADLOCK WA 98339 Contractor's License JSCONSC909LJ Expires 6/11/2012 PROJECT DESCRIPTION: NEW DECK & ADDITION TO EXISTING DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK VALUATION 7,125.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: 510 SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $153.25 LYK 06/17/10 117871 Exist: Exist: Plan Check $99.61 LYK 06/17/10 117871 Prop: Prop: State Building Code $4.50 LYK 06/17/10 117871 Total: Total: Total: $257.36 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY 44,-4 °N cod. JEFFERS*COUNTY • h \� DEPARTMENT OF COMMUNITY DEVELOPMENT o ►C 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �.�S, N�,�p� www.co.jefferson.wa.us/commdevelopment i Master Permit Application MLA: .) n 1c/k 12.EG Project Description(include separate sheets as necessary): • Tax Parcel Number: ct .1 ( ) 7 I Property Size: (acres/square feet) Site Addresy and/or Directions to Property: I0 ft i1�C;1�Qsi' ( - Ir" C1 c Property Owner(s)of Record: 4,,,,,,,.9 F,.Xspt, Telephone: 'S Li; - -5--3C,-- C 7 3 3 Fax: email: Mailing Address: /0 P.,LAe_cr6,s j— G1 (Pr,r} Towr►9r1.,t.Q Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: h-t kind of Permit?(Check each box that applies ❑Lot or Road Segregation ►:.uilding •1 'O c_(` n c Q_ \ 'SC 0 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]** ❑ Manufactured Home .0 Modular 0 Discretionary"D"or Unnamed Use Classification D Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** 0 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 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 � _r r 5 I-4 Ot• #y ii F j-" to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE �,.t /) r'(Z , Date: t /0.. 2 0/0 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 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 or she wants prior notice. Signature: 0,-. .�• Ctr c14,.-4 Date: cam.,., 1 LJ . ,i T) 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: fl-r..•-- .D• e- ", 3 '� Date /D J R of tj G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • 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:_ Rnv,-v D. r�,.t, Date: _gt�.r.a, i 0 j ,2 0 /U FAX: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:( ) ( ) • MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER NUMBER: ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pro'ect Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 7-14/99d Existing: 0 Sewer Steel Proposed: Bank ❑ Community System AdditionTotal: Height: ndividual System O Alteration/Remodel ❑ Concrete SEP Permit# ❑ Repair 0 Masonry Bedrooms: Water Supply: 0 Other: ❑ Demolition Existing: Setback: ❑ Pri ate well 0 Two Party Proposed: Type of Heat: Tota - 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: 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 bm itasite plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all roe lines,buildings and septic system components, including the reserve area. Current) Proposed For Office Use`Onl,.y Amount^ Revision Square Footage p EH Bid App Review: Main Floor Heated ------•_ 2nd Floor Heated Consistency Review: _._..__._.___ -Other Heated Base fee: �-:� _ ,-3. J Mezzanine Additional Section: __._ Heated Basement Plan Check fee: Cr? ci 1 Unheated Basement State Surcharge fee: / . •57) Other Unheated Pot Water Review fee: SUBTOTAL �,, Garage/Carport 1. C 911/Rd Approach fee: - Decks �2 O�` , Other -- TOTAL: $, 51 3 Receipt Number: 1 i1S 7 ) ��'�—` Cash/Check Number: IC;'S ESTIM D COST(REQUIRED) Date: I-C) •Fair rket value of all labor and materials foundation to finish 5,- 0 U - Initials: L_._ G:\PermitCenter\###FO orms\Master Permit Application 5-29-08.doc