The URL can be used to link to this page

Home My WebLink AboutBLD2010-00399 IUILDING PERMIT APPLICA N MReview00p405 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00399 Received Date: 12/1/2010 SITE ADDRESS: 4900 CENTER RD CHIMACUM, 98325 OWNER: FLORA C MACE PHONE: 206-545-2838 JOANN KIRKPATRICK JTWROS 4725 37TH AVE NE SEATTLE WA 981053014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801033001 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW DETACHED POLE BLDG/ GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 1,344 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 �— Routing Date: Type Amount Paid --Bv ---'Date: Receipt: A roved/Date Permit $502.35 LYK 12/01/10 120305 PROVEr Plan Check $326.53 LYK 12/01/10 120305 State Building Code $4.50 LYK 12/01/10 120305 iA1`i t6,, Total: $833.38 Jefferson County Plannin, &Building Departmen. Jefferson County Building Asion Permit Nun.: BLD10-00399 Applicant: MACE 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 /y1 1 Erosion Control Post Holes Il�( Footing Drains I Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing Blocking Drywell/Alt Drainage Address Posted FINAL INSPECTION f1 ( ' Tritr. FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD10-00399 1.) The project components are greater than 275 feet from the edge of the wetland. A buffer of 275 feet shall be permanently maintained from the edge of the wetland. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed, except as exempted under JCC 18.20.030 Agricultural activities and accessory uses. 2.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 3.) 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. 4.) 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. 4�.¢•goiv co�� JEFFERSONQUNTY '� DEPARTMENT OF COMMUNITY DEVELOPMENT ti . `4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �' p� www.co.jefferson.wa.us/commdevelopment • �`�BINe`' Master Permit Application MLA: t U _ 240C) Project Description include separates eets as necessary): JQiJ ,-�c� l c _ —c ]h .( P!(uo Tax Parcel Number: Bel ! l b pp ,z Property Size: y0 a c re s (acres/square feet) Site Address and/or Directions to Property: 41900 Center Road A f To u)et. e.n.d Property Owner(s)of Record: /C„-k pa f-r-,ck - Mace Telephone: Oh '1 Sy - 7/d3 Fax: email: Mailing Address: y7.25' .37t7Nam, , Seaffl , uJA 95'io5- Applicant/Agent(if different from owner): Sound Act,ld,n 4 S y.51-e m s Inc Telephone: 3/0o -4 p-/z l9 Fax: 34,0 y 3 7- /-z /5- email: ravel to r L mv_wa>/ •co,,, Mailing Address: 3S /& h r-ndy k<_ Roars , Part L.udIocv, u.'A 9tr'3bs What kind of Permit?(Check each box that applies ®Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family tg Garage Attached etached 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane ❑ Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline M,� , r Plogra ycemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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 A�ti 15c-��ek' ," �ysciv,f to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1 4Z Z_ . -tf-f--e-/ Date: /9-_'` / — /U 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 appli t t he or wa for notice. Signature:�::f G/ . `" Date: /2"--/ —/v The acti6n 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-transfe it ponsib'ity f herring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: // Date: / - '/—/o G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc ilk • 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: Sound /Juiid,n4 S St rn Stu_ (3do)y37-L )et (3bo) 437 -l�lg MAILING ADDRESS: J33 yL �rorn d yk e_ Road EMAIL: r u 1 fe r- g my LOA I 'Gom CONTRACTORS LICENSE Po t Ltct lot..); u,)q 98 363- WAINS NUMBER: Spu AI I>R 5 O a 7 NM NUMBER ARCHITECT/ENGINEER: PHONE (.0) 734,- 7SS FAX:(s cq)736- 74 s-7 Cii{'f 6�rkey .Eninecr;r%.5 a„d,al w7A MAILING ADDRESS: ,tbcc NCaI«,,.la►4 Ci.N cl�Y_r 8i� tresP RkSen EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New t • Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 0 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: g Individual Sy tem ❑ Repair ❑ Masonry SEP Permit# fi-2) ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: g Private well ❑ Two Party Type of Heat: Proposed: 0 ❑ Public onhl- Total: Name of System: ►'I If this is a Commercial Prolectyou 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 Current Proposed for Office Use Only Amount Revision Main Floor Heated EH Bld App Review: . 12 ^2n0 Floor Heated Consistency Review: C I3 Other Heated Base fee: ,503. 55 Mezzanine Additional Section: ^Heated Basement Plan Check fee: 3 53 Unheated Basement State Surcharge fee: 4 .50 Other Unheated Pot Water Review fee: re ?kitt Garage/Carport SUBTOTAL I �� l3yy Decks 911/Rd Approach fee: c, Other TOTAL: $ 1 t t Cl ,(i -4 - Receipt Number: 6 .—y 2D')---- Cash/Check Number: 18 Zg ESTIMATED COST(REQUIRED) Date: ' _ •Fair market value of all labor and materials foundation to finish ��- k — . a . ,,2 0 0 ,JU Initials: ----------------- G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • Mom- T4 • • 11 •. . • o G7 N • . L. . ‘y--a'c l• \ • Ii o J 8 . / 46 (5, , ._ , 7.0 l r • • � , 3 / .RB I \\.:: ' - 1 ' - f‘ ' c'� 'L • Y rn • A'N r� a S v • t I 1 13y1,31c • 1 • -.\ 1 ----- . • c_ v1 b R E. ell alt '', Its .....1 CZ J , . 717 _ V ! j }w1 J r P 1 W. � . I 2 n n n o.a _- z c N -4 0 • r; �. UTh •. 2 • m ti in I