HomeMy WebLinkAboutBLD2010-00303 •UILDING PERMIT APPLICAIbN B RDA 0-00303
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00303 Received Date: 8/24/2010
SITE ADDRESS: 92 CLEVELAND ST
PORT HADLOCK, 98339
OWNER: STEPHEN OLIVER PHONE: 360-808-0044
KELLEY OLIVER
171 WHISKEY CREEK BCH RD
PORT ANGELES WA 98363-8792 PORTAGE VIEW SHORT PLAT .72AC
SUBDIVISION: Block: Lot: 4
PARCEL NUMBER: 962700113 Section: 7 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION INTERIOR REMODEL - REMOVE &ADD WALLS, CABINETS, DOORS
& FLOOR COVERINGS
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 90,000.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2
Routing Di—Z0
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $923.75 LYK 08/24/10 119989 A1PRJVEED
Plan Check $600.44 LYK 08/24/10 119989
State Building Code $4.50 LYK 08/24/10 119989 AUG40 2010
Total: $1,528.69 Jefferson County Planning
& Building Department
Jefferson County Building Di Sion Permit Nu . BLD10-00303
Applicant: OLIVER
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
Rough-in Plumbing Of l(
Framing
10
Wallboard Nailing �o
Heat/Chimney Clearance 9.1t�a
Fireplace Insert
cc+iuv —P-A-ti`
FINAL INSPECTION Li
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
0gON % JEFFERSOISUNTY •
eDEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450 • 360/379-4451 Fax
$ $ www.co.jefferson.wa.us/commdevelopment
a,1"9/3INp
Master Permit Application MLA: IBC) rrf jc-) ' ,_
Project Description(include separate sheetsf as necessary):
iVe-..B� "G1 /. /kilt/ zfc c /,/��j4c I.e QJl
Tax Parcel Number y(e a - '700 -//3 Property Size: , 7,Z <<c..:1- (acres/square feet)
Site Address and/or Directions to Property:
q,z c2„€/4b f' Sf, V�f- 8a(/ems ( <4 LZ/z 1,y / .W..)
Property Owner(s)of Record: S ✓e- f ../.%%-4 6eit 2/•"v42,-".
Telephone: 24,9 f&Y'-oc""" Fax email: 6/."s VC)% , c-.r+m
Mailing Address: .<t',ti,.e
Applicant/Agent(if different from owner): —
Telephone: Fax: email:
Mailing Address: .---
What kind of Permit?(Check each box that applies
$Building El Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
t$Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CI"
Manufactured Home ❑ Modular ❑Discretionary"D'or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat'*
❑Home Business 0 Cottage Industry ❑Binding Site Plan**
❑Propane ❑Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed'Yes'Use Consistency Analysis 0 Plat Vacation/Atteration'*
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use ❑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 ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal,if known:
4.9rte-
DESIGNATION OF AGENT
I hereby designate .. to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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 attomeys 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 th pri r notice. j
Signature: 4.-,` Date: �/ /G/<e'
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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferabi • a ring to and complying with the ESA. The Applicant has read this disdn ai and signs and dates it below.
Signature: E Date: ��/G/%I.'
G:\Penne-e tter\###FORMS###\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 ibility of General Contractor for the proposed project.,
Signature: -�� C7/ Date: Ss. l‘/l17
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:
U New X.Wood Existing: c2 '1 Sewer
❑ Addition t l Steel Proposed: Bank X Community System
Alteration/Remodel ❑ Concrete Total: 'v� Height: ❑ Individual S j , r
❑ Repair El SEP Permit# '�-ILILt
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: y.--) _ Setback: I Private well C Two Party
Type of Heat: Proposed: 0-_ Public
h c4-`p,,.,,,fn Total: Os Name of System: J—�-
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:
Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove 1 Cook Stove i Woodstove 1 Fireplace Insert i Hot Water Tank 1 Pellet Stove 1 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,
including the reserve area.
Square Footage , Current Proposed For Office Use Only Amount Revision
Main Floor Heated }. /' ..5/z EH BId App Review:
i
Floor Heated _ Consistency Review:
Other Heated Base fee: q �onaMezzanine Additil Secton:
�1i
Heated Basement Plan Check fee: Lil I.
Unheated Basement State Surcharge fee: `�'
Other Unheated Pot Water Review fee:
Garage/Carport _ SUBTOTAL ,_,e0 L4,1
Decks 911/Rd Approach fee:
/if ;
Other TOTAL: $ 159 Q (pq
..4*• Receipt Number. 1 9 9g9
,
.- Cash/Check Number.
1 (a1D '
ESTIMATED COST(REQUIRED) Date:
`�
.Fair market value of all labor and materials foundation to finish
N' 9/'ate — Initials:
G\PermitCenter\###FORMS###\I)KD FORMS\Master Permit Application 5-29-08.doc
111111
•'_ * 1110
MENDELSON APPRAISAL SERVICE
4.`= r SKETCH ADDENDUM
� � File No. 5789 'I
Case No.
Borrower OLIVER,STEPHEN/E.KELLEY
Property Address 92 CLEVELAND STREET
City PORT HADLOCK County JEFFERSON State WA
Lender/Client FIRST FEDERAL 98339-9755
Address P.O. BOX 351,PORT ANGELES,
WA WA 98368
Iv/ pTS(D/ 7,." 27/
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1.
-/!O/ - - _ 15' Deck 12
I'^ 10.5'e m 6'
/s? Dining Room /
l/ Bedroom 13 �'�
Kitchen
Living Room
'^ 1/2
Bath
CL Bedroom
Bath UblityTil
(014N//
Bath
kI [ ENT
)
/ / Garage '.
)( $ 47
Ti in
Bedroom 5
1� 1,5' <11
S 5
%
5.5'
S40h'
P*1 I
h
Comments: / tNiV
-
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A• • CAL LATIONS SU ARY LIVING AREA BREAKDt!WN
Code Dascri 'on- _ iae Net Totals Breakdown �.
Subtotals
GLA1 Firs Floor 1947.1 1947.1 First Floor
GAR Gar 505.4 505.4 0.5 x 0.0 a 5.0 0.1
13.0 x 16.3 211.6.
6.0 a 12.0. 72.0
5.0 x 15.0 75.0
33.0 x 43.5 1435.5
23.3 a 5.0 116.4
0.5 x 3.9 x 3.9 7.6.
5.5 a 3.9 21.4
0.5 x 3.9 a 3.9 7.6 „i
.I
Il;l
I
Ii
ii
Net LIVABLE Area
(rounded) 1947 9 Items (rounded) 1947
Produced by ClickFORMS Software www.ClickFORMS.net Page 14 -of-- 24 ------ I.
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NOTES:
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�-----� WPU.EMOVED
Yltact the Eauilding Departmel
379-445t) prioi to making change
revisions to the approved plan
TlCE: Plana are approved ex
a
errors or omisaFona. All vrr�
p
a Inspection In conformance
a
I applicable codes and regtaa5
EFFERSON COUNTY DC
BUILDING PLAN REVIEW
O
APPROVED AS SUBMITTED
APPROVED AS NOTED
O
REJECTED
�
.LL � Reviewer�;[�,.__
I
OLIVER RESIDENCE
92 CLEVELAND
PORT HADLOCK, WA 98339
DESIGNER:
BOB/SHELLY
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REVISED:
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ALL LAYOUTS, DESIGNS, AND RELATED DRAWINGS CREATED BY KITCHEN & BATH STUDIO REMAIN THE INTELLECTUAL PROPERTY OF KITCHEN & BATH STUDIO AND MAY NOT BE COPIED, PHOTOGRAPHED, OR USED IN ANYWAY UNTIL ALL APPLICABLE FEES ARE PAID IN FULL CO ?) IGHT KBS 2007