HomeMy WebLinkAboutBLD2010-00255 UILDING PERMIT APPLICA BLD10-00255
N Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00255 Received Date: 7/19/2010
SITE ADDRESS: 43 QUARRY RD
PORT LUDLOW, 98365
OWNER: PHILIP RASMUSSEN PHONE: 360-437-0648
CYNTHIA RASMUSSEN
43 QUARRY RD
PORT LUDLOW WA 983659457 BASALT BEACH
SUBDIVISION: Block: 2 Lot: 2
PARCEL NUMBER: 931500202 Section: 4 Township: 28 N Range: 01 E
CONTRACTOR: WASHINGTON DOCK BUILDERS INC PHONE: 253-931-5526
18 27TH NW
AUBURN WA 98001
Contractor's License WASHIDB940LB Expires 1/26/2012
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION CONSTRUCT PIER, RAMP & FLOAT
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 53,569.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0 --��
Routing
Type ---—'Amount Pal By: Date: Receipt:
Permit $671.75 LYK 07/19/10 117991 APPROVED
Plan Check $436.64 LYK 07/19/10 117991 SEP 15 2WU
State Building Code $4.50 LYK 07/19/10 117991
Jefferson County Planning
Total: $1,112.89 &Building Department
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Jefferson County Building Division Permit Nun, : BLD10-00255
Applicant: RASMUSSEN
BUILDING PERMIT INSPECTION APPROVALS kpplicable 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
Miscellaneous piles
Miscellaneous ramp, float and dock
FINAL INSPECTION .) - G( _ I Ok-137
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00255
1.) The project proponent shall adhere to all conditions in the shoreline substantial
development permit issued on August 9, 2010 (MLA09-00376/SDP09-00089). This
includes, but is not limited to, implementing SEPA conditions to protect waters of the
state, ensuring that no trees are removed, following all HPA requirements, and ensuring
that all construction is in substantial compliance with the approved site plan.
• S _ _
EXISTING PIER,RAMP AND FLOAT.
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931 500 205
0' 50' 100'
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20' 75' EXISTING STAIRS ITEM
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Page of
WHEELER
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931 500 204
2 PROPOSEQ P)ER,
., LOW ROCK MINTEER
BULKHEAD
931 500 203
EXISTING BOAT RAMP
AND FLOATS BEACH/BANK T
INTERFACE A.PPR; )
AND
MHW SITE g
RASMUSSEN AUG
931 500 202
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5.
DEPT.OF C MUN11Y DEVELOPiN1E-NT
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ATURE:
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9 • RUSH PIp F fill
931 500 201 — 1 0 2
iEFFFOSON LOONTY OCO
'"''¢ CAREY RASMUSSEN, MINTEER
COURT AND WHEELER PROJECT
NWS 2009 1419
PORT bEC. 28, 2009
OF Revised May 10, 2010
PORT TOWNSEN)
1110
Jul 15 10 01:01 p MEG AMOS 36015 3027 p.2
t irlyr4:7411k.. JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street•Port Townsend•Washington 98368
C 380/37 t�-4 50-
360/379-4451 Fax�q,e �ceitc) wow.co.jefferson.wa.us/commdevelopntertt
Master Permit Application MLA: I V -9-1
Prject ption f Ude s to s -- - e :f) e � o✓t or C ' O id a C,dAs:Tcfeo - ,,lra `} ` rrbYo iN - t, . h y 51 . Y 41
t-
t5
Tax Parcel Number `�31500 r.0 , .o3 Gig , o Property Size: T kr a it (acraWsquare teed
ran Weak of geed Cayy�es r idq� des ( /d " f
address rd/or alrections to ' .e: 1, 4_ .. lid• _i lL
E.a .� �- ., • :l ... J Ai�1-��C a • .. it ° - o L A C A� o (9( i- (. air 1.
Pro.:rty Owner(s of Record: 4.' MAW-a. a, . -5-. ,o .... .' . M I: �Ai I. C�-11r1 ��
Telephone: - ,o •
,t r',r Fax: ( ko) 3-[%o a. email: 1 a r • .�(�rtl�I1111M'. `0 , f7I•yr a046^11
Mailing Address: (3 fi1Mm ci 0,(k- (,.,A,41 wi tit-A,`.£1(6
Applicant/A.ent( dfitment fro owner): y r, ..CC��. ' ' 11*; - .a ' Ali. .
Telephone: trd Fax I�7�M— ro - Fa , - 1. 7 t email; t1. V;ae. Suit/ 7$•rl/1CO�y�Atl.erwt
M s ailing Address: .- • i!• A• •o( • i. • , ; I
Whad of Permit?(Check -:. box that applies
uNdinp ❑Critical Areas Stewardship Plan
itl4rnotition Permit 0 Variance(Minor.Major or Reasonable Economic Use)
e Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or Cl"
❑ Manufactured Home 0 Modular 0 Discretionary'D"or Unnamed Utle Classification
0 Commercial' 0 Special Use(Essential Public Facilities)"
0 Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Shen Plat"
Cl Home Business 0 Cottage Industry 0 Binding Site Plan'•
O Propane P 0 Long Plat '
o Sign 0 Planned Rural Residential Development(PRRD)/Amendim rris''
❑Allowed"Yes"Use Consistent'Analysis 0 Plat Vacaton/ARemtlon"
0 Stormwater Management 0 Shonsilne Master Program Exemption/Permit Revisions
00 Site SemPlanr Approval Advance Determination(SPAAD)• 00 Shoreline nagement Substantial Deveopment"
Management Variance
O Wireless Telecomrtwnlcaiion' ❑Comprehensive Plan/UDC/land Use I)ilArict Map Amendment
0 Forest Practices Au/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
May r quirr a Are-Application Coakronce 0 Tree Vegetation Request
"Requlrww a Pre-Application CanAisurrce
Please identity any other local,state or federal permits required for this proposal,if known:
_AZT - �I- )a tit/ -si�Pc ; b� l ufa4et/ �tal; � � �4- fin- - 55�
� — DESIGN TI N OF AGENT
I hereby designate LAW r as my agent in mattersrelating to this application for permll(s).
OWNER SIGNATURE � '' � �CJ'�� J� ' ate: _„� /<3
•
By signing this eppication form,the owner/agent Guests that the irdarllati°n provkled herein,and In any attachment,is true and correct to the best of
his,her or is knowledge. Any material falsehood or wly omission of a material tact made by the owner/agent with resped to this application pocket
may result in this warm being null and void.
I further agree to sova,indemnify anti hold harmless Jefferson County against ail ltabllltles,Judgments,court oasts,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 thi permit
I further agree to provide accss and right of entry to Jetferacn County and its employees.representatives or agents for the sate purpose of application
review and any r nuked later Inspections. Staffs access and right of entry will be assumed unless the applicant informs the County io writing Ail the
lime of the app' that he//or she, van r notice.q, 1 7��
Signature: `��6liy 7 Cls+•Lt I/1 . Gy,T t.��e w{;T �'1u Dale: C Ll. /�
The action or actions Applicant will undertake as a result of the Issuance of this perms may negatively impact upon ona or more tluo atoned or
endangered:petits and could lead to a potential lake'of en endangered species as those terms are damned in era 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 brscause this
permit has been issued will not violate the ESA. Any individual,group or agency catlike a lawsuit on behalf of an endangered species!unc cling your.'
action(!)even If you ore in compliance with the Jefferson County dovolopment code.The Applicant adrnowtedgea that he,she or it holds individual
and non-tran rap/inability roe adhe to and co ptyf •h this ESA The y p1- .koxe-this disclaimer and nips and dates it low.
Signature: '`� //• 42/ i - liiw�[ �9 :_is �l 1W" aaata; -7,2//0
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G;\PcrmitCamr!\itig4 O2.MSCt d\DRD FORAtS\Mssra Yrmuc Applii odri 5-2'T•orl.dor
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Jul 15 10 01:01p MEG AWIOSill 36• 3027 P.3
BUILDER STATEMENT
The Signer of this statement dotal hereby Certify that they am the Owners of the parcel tnforonced herein,that they are not lioeus rd c ntfeerors and that
they wif be the responsibility DIV
General fnr Yee proEd p -7
signature /I//� 4/�% i 7: c � '�flnru ` ij 1' G� _ / // //�'
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
rec;\ ; r‘ v VA' DGid.a���ty_ / .mar • _ 630o) Ya5_ .
as ) S5g'
MAILINGAooRESS: f g 3�i ceh L
' / Aniueyl 14A Burl: tl Arkl�. (o("'.t
CONTRACTOR'S LICENSE ?irSo( WaNS
Niemen: Numb SR yam. p� --___-.--.—
ARCHITECT/HNoreEER: ►k-�U ,VI�Wb1r)Cw ' PFJPr PHONE!y(EO) r 9 "in F ) —___
MWLtNGG AUORES$: yyyy�\ y EMAIL
Protect Type: Frame T : Bathroomd: IV5C( Shoreline: Type of Sewage Disposal:
Pr New L?1 ood Existing: - u Sewer
0 Addition 0 Steel Proposed: Bank o Community System
O AlteretionlRemodel C! Concrete Total: Height: 0 Individual System
0 Repair C Masonry SEP Permit U ,_ �
0 Demolition C Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well 0 Two Party
Type of Heat: • Proposed. E.) Public
I Total: Nemo of System:,
tf this iv a Correlercial Project you must answer Ills following:
Number of Parking Spaces: Currant: Proposed: Number of tt�..29 Patting Spaces:_____...._
•
Number of occupants(includes owner;,tenants.employees.etc) Current eT
oPoSed
IBC Occupancy:. IBC Typo of construction: _ Will you have Food Service? Yes 1 No
if this is a Propane Tank andlor Appliance Installation permit,'nark all demo belowjhat apply:
t Underground Tank l Above ground Tank Sae of Propane Tank'
I Heat Stove I Cook Stove I Woodstove 1 Fireplace Insert t Hot Water Tank I Pellet Stove t Other
Is this jppliance being igoaled ink h rise(+cfured i Mobile Home? Yes / No
When applying fora permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
Ones,tank location and the,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footuue J Current Proposed * ,l,.:4 • `'i1 Rir� TIiaf�1L''�'' ..`..N iV. �,,/•!'C" �1 ''.:1 t) r7�:1•7":"
Main Floor Heated ^dita,c.F EH Old App Review: f" ---- '
2' Floor Healed `" ,'?` Consistency Review: ---)! r
r
Other Heated r, r
— ` Base fee: 75
•L'.•,14 /2�/,
Mezzanine � .1 ttf r. Additional Section
,,i S .,•Gi C t
Heated Basement F'g'; ,; Plan check fee: A/36.), x._.._
Unheated Basement 5"'r-'r',7 State Surcharge fee: 1/CO
Other Unheated •,n,+ts.t.. ,:y -of Water Review fee:
1•;' SUBTOTAL " •
Garage/CaryoR 6:'' _
neii,;t 13? 0
Decks ?ix ,i' ,� l' 911/Rd Approach fee: J.._—
24,
Other pi\%S MIL() Ctt` ., i rl TOTAL: $/�3�J r /
Receipt Number.
— :i:t."'ir' ,2 j Ca$IJChe r.
ck Number
STRIATED COST(REQUIRED) Date:Weir market value of ay labor end materiels 'o"W/WM Initials:
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o CO Ross M THE LAND DEVELOPER'S STRUCTURAL SOLUTION
SSEN DOCK DESIGN
m —MI 43 QUARRY ROAD, PORT LUDLOW, WA 98365 a division of THE LAND DEVELOPER LLC
o —, CLIENT: PO BOX 4420, TUMWATER, WA 98501
a O PHIL RASMUSSEN (360) 480-9890
�.. -� 43 QUARRY ROAD, PORT LUDLOW, WA 98365 EMAIL: erik@thelanddeveloper.com
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M FILE COPY