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HomeMy WebLinkAboutBLD2010-00243 *BUILDING PERMIT APPLICSION ML Review Ty 267 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00243 Received Date: 7/7/2010 SITE ADDRESS: 70 LAUREL ST PORT HADLOCK, 98339 OWNER: PATRICK D WAIT PHONE: 360-379-4990 MARY L WAIT 70 LAUREL ST PORT HADLOCK WA 983399720 PORTAGE BAY PARK SUBDIVISION: Block: Lot: 25 PARCEL NUMBER: 989100019 Section: 6 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION DETACHED GARAGE/SHOP W/ADDITION (UNPERMITTED) - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 28,447.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: 1,092 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: Apnr /D 1 Permit $431.65 LYK 07/07/10 117954 Plan Check $280.57 LYK 07/07/10 117954 SEP 1 20w State Building Code $4.50 LYK 07/07/10 117954 Jefferson County Plannin6 Total: $716.72 &Building Department Jefferson County Building Dillon Permit Num. BLD10-00243 Applicant: WAIT BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 -9 1,&) G k_ Footing Drains 1 o ` ' !f Foundation Stem Wall 1 !�, �7 rot, lCp-7.> Straps(hold downs) 101/ -CO Ext. Shear Wall Nailing 4ta,,16,.7rD Framing L Lfl 'Fir Blocking 1, Wallboard Nailing //_l-,(0 1 .! Drywell/Alt Drainage 1 Address Posted FINAL INSPECTION l-. <,-- ' ) ) r(0 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD10-00243 1.) See BLD06-00258 for conditions that apply to this property and project. 2.) 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. 3.) 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. I ¢ oN 006. JEFFERS!!N COUNTY W ' lk DEPARTMENT OF COMMUNITY DEVELOPMENT ti -< `4 1 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 1,9, ,p� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: (0 -a(0`Y Project Description(include separate sheets as necessary): E - ar 756 a' 4�f ! 336 cl"�-PP/TOE►/7 6-Ae4---E %092 723 4-L A77-40/ Tax Parcel /� Property /�e,,, Number: g©9r/00- 0/6j Size: /7t i1 (acres/square feet) Site Address and/or Directions to Property: 7DL4.1REL sr 7 74 7 #spLtxr, h' -. 98339 Property Owner(s)of Record: 2i4.12K-K . , E /L1 Y 4.cpl/f s it/,4.j j Telephone: 3E9 379- 4-r9O Fax: 3bO-37?- 67978 email: ar,fele fP-Fz72 rJs4. ,L Mailing Address: 7C Lht1E a_ %, 7 'l ? sill 1A/A_ cf - Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit tAA2f f?o4) 0 Conditional Use[C(a),C(d),or C]** ❑Single Family z.Garage Attached/ tach ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** 0 Commercial* ❑Boundary Line Adjustment J U L - 7 LU ij ❑ Change of Use 0 Short Plat** ❑ Address El Road Approach ❑Binding Site Plan** ❑Home Business ❑Cottagelndustry 0 Long Plat** ❑Propane 0 Planned Rural Residential Development(PRRD)/Amendments*" ❑Sign El Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development'"' ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance El Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment 0 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: DESIGNATION OF AGENT I hereby designate � to act as my agent in matters relating to this application for permit(s). G.�v D �'/, OWNER SIGNATURE // iat7- 'J-?'�7-0/0Date: 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 it's 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 la ections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati t t he wants prior not Signature: - Date: g---.._--- Zelo 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 r bility for adhering tgrand complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /� .i Lr i� L�— Date: 7 '7-"2-D/C) C:\Documents and Settings\canal\Local SettingsVl'emporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc III 0 BUILDER STATEMENT The signer of this statem-I does hereby certify hat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumin ponsibility of the neral Contractor for the proposed project. Signature: t , Zie _ Date: GENERAL CONTRACTOR OR MANUFACTURED HOME 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 � 'Wood Existing: I _ CISewer X❑ Addition l o G-A4-�Alteration/Remodel ❑ Concrete Total: Hei ht: Individual Sys ❑ Repair ❑ Masonry — 0 SEP Permit# -q5 ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: _ rl Setback: I 1 Private well i i Two Party Type of Heat:/ . , Proposed:Total: ' ?'� Public - unfit. — Name of Sys 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: ❑Underground Tank []Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert ❑Hot Water Tank 0 Pellet Stove 0 Others u 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 Ar EH Bld App Review. 2na Floor Heated Consistency Review: 13 Other Heated Base fee: 143 If (4 Mezzanine A iitlon 5 ctM • 4 I�F�✓ Heated Basement Plan Check fee 51 Unheated Basement eC State Surcharge fee: Other Unheated Pot Water Review fee: cr�— Garage/Carport 2 4q7 SUBTOTAL �n Decks '—1 911/Rd Approach fee: - Other TOTAL: $ 1l r 7. i t Receipt Number: I '-1 6 S(1 Cash/Check Number: / (^) ESTIMATE�ED) Date: --11-1— 0 .Fair et value of all labor a materials foundation to finish —> „ i Initials: C _D--- C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2OO6.doc �f4 . n Q p 5 A CD f (Q 2 > Ot t 3 N Q 1"_.,t { v 2-zX8 o �CD _ 'C I o0- � ; ` o A _ 77) A { CC'l Nw. C---i- 71>055Es 1=- .01 si- 7.__k_N_2 'I-` ' a F.l co >c h � _ � f — — 0 0 2 2X4 2-2 X. f- -----3 1 I i T osci„ c_y ,. 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