HomeMy WebLinkAboutBLD2010-00244 •UILDING PERMIT APPLICAllb Revviewiew T TyN BL y244
pe:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00244 Received Date: 7/8/2010
SITE ADDRESS: 213 EDGEWOOD DR
PORT LUDLOW, 98365
OWNER: GEORGE S HARRINGTON JR PHONE: 360-437-0690
JOANNE HARRINGTON
213 EDGEWOOD DR
PORT LUDLOW WA 98365-9225 EDGEWOOD VILLAGE
SUBDIVISION: Block: Lot: 12
PARCEL NUMBER: 948200012 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: LYMAN CONSTRUCTION PHONE: 360-871-6843
PO BOX 667
PORT ORCHARD WA 98336
REPRESENTATIVE: ANNIE O'ROURKE PHONE: 360-417-5615
PO BOX 1246
PORT ANGELES WA 98362
PROJECT DESCRIPTIOr CONVERT EXISTING COVERED DECK TO SUNROOM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 180
VALUATION 25,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 3
Prop: 0 Prop: 0
Total: 2 ,--f'otal: 3
Routing Date:
'-1-FS IC)
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $391.25 LYK 07/08/10 117957 APPROVED
Plan Check $254.31 LYK 07/08/10 117957
State Building Code $4.50 LYK 07/08/10 117957 JUL a) 2010
Total: $650.06
Jefferson County Planning
&Building Department
Jefferson County Building •ision Permit Nuer: BLD10-00244
Applicant: HARRINGTON JR
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
Erosion Control
Foundation Footing /v
—20
Footing Drains
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing iC
Framing
Airseal 'Ci_ 7 P
Insulation:Walls
le2f-��
Insulation: Floors
CQ—Zc i(
Insulation: Ceiling
—II
Wallboard Wallboard Nailing
Mechanical Systems
Address Posted ,-2(--t
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD10-00244 Received Date: 7/8/2010
SITE ADDRESS: 213 EDGEWOOD DR Issue Date 7/20/2010
PORT LUDLOW, 98365 Expiration Date 7/20/2011
OWNER: GEORGE S HARRINGTON JR PHONE: 360-437-0690
JOANNE HARRINGTON
213 EDGEWOOD DR
PORT LUDLOW WA 98365-9225 EDGEWOOD VILLAGE
SUBDIVISION: Block: Lot: 12
PARCEL NUMBER: 948200012 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: LYMAN CONSTRUCTION PHONE: 360-871-6843
PO BOX 667
PORT ORCHARD WA 98336
PROJECT DESCRIPTION: CONVERT EXISTING COVERED DECK TO SUNROOM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 180
VALUATION 25,000.00 ADD'L:
CODE EDITION: 2009 HEAT TYPE: EEE
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $391.25 LYK 07/08/10 117957
Exist: 2 Exist: 3 Plan Check $254.31 LYK 07/08/10 117957
Prop: 0 Prop: 0 State Building Code $4.50 LYK 07/08/10 117957
Total. 2 Total. 3 Total: $650.06
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
(41;'4"-,
�� JEFFERSO OUNTY
4' + MT COEVELOPMENT
621 SheridanDEPARTEN Street OF • PortMMUNITY TownseDnd •Washington 98368
& frirOw�k 360/379-4450 • 360/379-4451 Fax
Z C� www.co.jefferson.wa.us/commdevelopment
()IA jL--
Master Permit Application MLA: \�J /.� � N
Project Descrip n(include separate is as necessary): •
Weird o n , g'wi e 4St1nj C_ -Iu plum&n
Tax Parcel Number. 99-g 2 00o/ '2_ Property Size: 2 2. 7 3.. 26 (au uare feet)
Site Address and/or Directions to Property:
2i 3 editiw°ccl ►ve.: Thrt kid IO,,U
Property r(s) 1 Record: 4f&)✓c'i.e tb / ✓►:+rs
Telephone t•)O)43 7— cl0 Fax: email:
Mailing Address: 21 iZn erne i &',t� ''/' 1-td[JQ
Applicant/Agent(if different fiom`t/iwner�j jvl f"G 0igairk
Telephone: (l.4.) 4/7- aoi5j Fax email: ' S�J[tt7Qrb
Mailing Address: 't ,-11
What kind of Permit?(Check each box that appies
, Building 3011 rOo On AM.1 -(10 r ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
.Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]*"
❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)"
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach ❑Short Plat**
❑Home Business ❑Cottage Industry ❑Binding Site Plan"*
❑Propane ❑Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed'Yes"Use Consistency Analysis ❑Plat Vacation/Alteration*"
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* ❑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 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal,if known:
l
Q"`-"
DE GNATION OF AGENT
I hereby designate V. to act as my agent in matters relati g to is application for permit(s).
OWNER SIGNATURE Date: 26 it)
By signing this appl" , owner/agent attests that info ation provided herein,and in any att ;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 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 Cou as a result of or in consequence of the granting of this permit.
I further agree to prov' access and right of entry to Jefferso unty and its employees,representatives or agents for the sole purpose of application
review and any requi er inspe on). tails accesvn ' f entry will be assumed unless the appf nt' rms the County in writing at the
time of the application or otice. )4) 1 U
Signature: �� U Date: �
The action or actin s icant I undertake as a result issuan of this permit may negatively impact n one r more threatened or
endangered species 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' ividual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if o re in can Ji ce with the Jeffe my development code.The Applicant acknowledges that he,she or it holds individual
and non-transfe/Hresponsi Hay f adhering to 'n with the ESA. The Applicant has read this r a ign a dates it below.
Signature: Date: j (� D
G:\PermitCenter\###FORM ##\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: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
amilalA.VI Gish-Vth,f9t i (1.t1 Y7/- (o '43 ( )
G ADDRESS: 1O —`' -7( I -t a/Thai-ll LUA EMAIL: d/414'1a it 6D (AN
(utweit-ca e.• ')
CONTRACTOR'S LICENSE j 'A�. Gr83tp(y WAINS
{
NUMBER: -YM/K/VC.-w /32../2r4 NUMBER
Oe 4/4►4. itfitin�1 a". 0�r`-u/C.71"ke PHONE G )4I 7_5u/5 FAX:( )
MAILING ADDRESS: 1P7 Boy, l2 TVr fi /rd/ w� EMAIL ctivat�:,iCyJt'ic".Y (�c�IV M.G :4,,,,
Project Type: Frame Type: rooms: 3 Type of Sewage I:
J New j Wood Existing: 3 >i Sewer
to Addition ❑ Steel Proposed: E' Bank ❑ Community System
1 Alteration/Remodel LI Concrete Total: 4 Height: ❑ Individual System
Repair ❑ Masonry ___WA__ SEP Permit#
Demolition ❑ Other. Bedrooms: 2 Water Supply:
Existing: Setback: I i Private well ❑ Two Party
Type of Heat Proposed: t.' , ) Public
_hAt.t- .',1 Total: - j" � d Name of System:
.1.-4f(110Lu:)
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 / 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,
includin. the reserve area.
Square Footage Current P a - > ,
-� r..,W;,...,.: .may ., 1 r,.t_;., -
Main Main Floor Heated - EH Bid App Review:
2,173 le->(i
2�Floor Heated 0Consistency Review:
s—
Other Heated 0 Olc: Base fee:
Mezzanine Additional Section:
Heated Basement C, Plan Check fee:
7 I
�j
Unheated Basement +�� O State Surcharge fee:
Other Unheated E.) U Pot Water Review fee:
Garage/Carport , SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL: $ UJ .CY,0
H- . Receipt Number i I ( 3�
'eE�,�. • , Cash/Check Number. 1 �' s�
• k Y nJ
ESTIMATED COST(REQUIRED) Date:.Fair market value of all labor and materials foundation to finish _ 'Ti 15
#(25 CO 0 Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc