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Home My WebLink AboutBLD2010-00398 UILDING PERMIT APPLICION B RDI w00p398 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00398 Received Date: 11/30/2010 SITE ADDRESS: 201 QUIMPER LN PORT HADLOCK, 98339 OWNER: BENJAMIN WELCH PHONE: 360-385-5797 201 QUIMPER LN PORT HADLOCK WA 983399403 CHIMACUM CREEK ESTATES DIV 2 SUBDIVISION: Block: Lot: 28 PARCEL NUMBER: 943700029 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: EXZACTS SPECIALTIES PHONE: 360-770-0332 310 HEATH RD SEQUIM WA 98382 Contractor's License EXZACS*902LG Expires 6/7/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOF ADA ACCESSABLE INTERIOR REMODEL W/ ADA BATHROOM & REPLACE STEPS WITH RAMPS TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 65,000.00 ADD'L: HEAT TYPE: EEE 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: CON WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 1 Total: 2 Total: 3 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $748.75 LYK 11/30/10 120304 APPROVED Plan Check $486.69 LYK 11/30/10 120304 State Building Code $4.50 LYK 11/30/10 120304 NOV 30 2010 Total: $1,239.94 Jefferson County Planning & Building Department Jefferson County Building Di ision Permit Num BLD10-00398 Applicant: WELCH 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 Foundation Footing 2 /li c� Under Floor Framing .2 s , r Rough-in Plumbing 18II I 011 i1/ l.1l Framing -, si, , 9„..._ r --r Wallboard Nailing .: ..j `/ Lv Miscellaneous ._ )�'/ /� /.Yl �, ADA ramps handrails,bathroom fixtures ' 71014-P`l) 31 1Sl" `4\r)V11-1 tk 1 ..(!„,/"- j A— i ///// r1: ' te" FINAL INSPECTION ffitr9.` -26 V)__ j77-5 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ,rre.SONL' • pL JEFFERCC COUNTY ' " DEPARTMENT OF COMMUNITY DEVELOPMENT t, `` ' 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �q # www.co.jefferson.wa.us/commdevelopment `SHIN Master Permit Application MLA: 00 ('n(A t -0 / 1] Project Description(include separate sheets as necessary): i Q LLtD>_ t>E F_t_. G PICLO o r S ( / - 0--Pin. `(- AcNb. A-bA t 1I&+ 'Tax Parcel Number: (--t 7 79 Property Size: /4/y yS; /6- (acres/square feet) Site Address and/or Directions to Property: ,�D l Cz) ;tit t e l< `.Aiv c p� j/�J/d r_ /c 4,A Y'ff3)`I Property Owner(s)of Record: /3 e.•t.,j.q ro iiv L.-le Ic// S'e AJi ri.0 Telephone: "34O 3 7? 3979 Fax: email:Ao/ioi/Lea7y/11/4.n,c,'A-1 Mailing Address: ,2 C/ a u;, I-A n1[" Applicant/Agent(if different from owner): "2-,4L 7:4�lr�,L Telephone: '3 4,7 a & , V 7 Fax: 3�O CcS 3 .5d.z 7 email:f'x z4c/SSvec./k/1r-.56-,) ,_ . Mailing Address: 3 C) l/tA Ro( i'efrii;r i AA' 9 '3e'Z What kind of Permit?(Check each box that applies 0 Lot or Road Segregation 4\)4Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .0 Modular - 0 Discretionary"D"or Unnamed Use Classification j ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** ❑ Sign -- 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑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 0 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 /4e iii)91 /',Q1 G/‹... to act as my agent in matters relating to this application for permit(s). _'�7"'�" „,OWNER SIGNATURE `G�/'/ 'L,`"b"` 4 Date: /�.�//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 applicaon that he or sh/yvan prior ice. i Signature: J /fit,' �� < / . Date: // //� 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-transfer le ronsibilityhering t d complying with the ESA. The Applicant has read this disclai er and si and dates it below. Signature: '/4 / Date: // 30 0 G:\PematCenter\###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: Date: /GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PFIONE: FAX: Z 4c-//,S7/4 / /9 y%r( (moo) ee8 3 -.5-59 7 (1.9 ) (-83 57027 MAILING ADDRESS: 3 /O h/C/q f// gG?` EMAIL.�.$L AG.f s spc C.t 19 M/C-J5lfj yAI/. .4o/Vt CONTRACTOR'S LICENSE j , -Z A ..5 �K 9e 2- L Cs WAINS / NUMBER: //E /&/ �oJ� /QJd NUMBER ARCHITECT/ENGINEER: itG y�lli'+.44s115G4) //9,,Gr T lt4A PHONE (jjo)377,g,338 FAX:( ) MAILING ADDRESS: / 51334,8 EMAIL Project Type: , Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: U New e Wood Existing: 2 N4 ❑ Sewer ❑ Addition ❑ Steel Proposed: / Bank ❑ Community System ' illAlteration/Remodel ❑ Concrete Total: 3 — Height: ❑ Individual System L7 Repair ❑ Masonry SEP Permit# D Demolition ❑ Other: Bedrooms: Water Supply: Existing: Z Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 0 CI Public Total: - Name of System: 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: 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 1 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, including the reserve area. Square Footage Curre t Proposed For Office Use Only Amount Revision Main Floor Heated —,`'36e, EH Bld App Review: 10\ 2nd Floor Heated Al/4Consistency Review: IQ i Other Heated Base fee: N/4 r7zD J 7G Mezzanine N/A Additional Section: Heated Basement �� Plan Check fee: `p •�/1 Unheated Basement State Surcharge fee: ' I `C() Other Unheated Nfr Pot Water Review fee: Garage/Carport SUBTOTAL yoz ON-g4 Decks Z`./0 911/Rd Approach fee: #1 4 Other /1� TOTAL: $ 1a39 Cj Receipt Number: I Zc u4 Cash/Check Number: :r-+ r ESTIMATED COST(REQUIRED) Date: 11�� •Fair market value of all labor nd materials foundation finish ; 11 f,< J ,/��1 �' Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc 6.4 D I 3 • INZ O /p / 49'-B 31/32" i �m 00 o" Om O D AO • N. 7 25' 4" 1/^1 • / 1 V ID T� m V O O pp ��J,\� a p s�1/z / v O 7 �7 N •II' r-73/a�f O x z mF ° —� o A or I r O m <r I L O m (j N m ��— n r_.. r I I f f II 1 N I{]I f A $ _ F // m w r • a II �/ A X O G m 0 o 13 N y CD rr Cn fi C II II .. GI II iu 8. I • • • • c A) C.) r, C I N Welch Remodel 1" = 101-01, N :E BUILDING & SITE INFORMATION LOT SIZE: 14445.16 SF BUILDING FOOTPRINT RESIDENCE 1904.00 SF ROOF AREA RESIDENCE & GARAGE 2583.67 SF PROPOSED 80.50 SF DRIVEWAY EXISTING 376.74 SF PROPOSED SIDEWALK 389.75 SF FLOOR AREAS MAIN LEVEL 1536.00 SF GARAGE 402.00 SF TOTAL AREA 1942.00 SF LEGAL DESCRJPTION CHIMACUM CREEK E5TATE5 DIVISION II, LOT 25, SOUTH WEST QUARTER SECTION , SECTION 2, TOWNSHIP 29 NORTH, RANGE I WEST, WILLAMETTE MERIDIAN SITUATE IN THE COUNTY OF JEFFERSON. STATE OF WASHINGTON. Designs by Souza, Inc. 164 Swanson Ave Port Townsend, WA 98368 Henry M. Souza, CGP, CAPS Date Drawn by M •� Cot)' O O V/ _O C N to U C O O N Y O O 1" M m Cf L . 'C Z NIZQcc m k wY�ANRl COax^.:� c^� ,� `lilil)j v' O 11-5-2010 hms Project Status: VA Grant Approval A1.1