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HomeMy WebLinkAboutBLD2011-00170 � E ILDING PERMIT APPLI P� MLAiewTyp 45 CATI":. Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00170 Received Date: 6/29/2011 SITE ADDRESS: 45 MT WALKER VIEW RD QUILCENE, 98376 OWNER: GREGORY BURNS PHONE: 206-321-4256 KRIS A BURNS 1240 3RD AVE N SEATTLE WA 98109-3280 MOUNT WALKER VIEW TR LARGE LOT SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 601225016 Section: 22 Township: 26 N Range: 01 W CONTRACTOR: A& D CONSTRUCTION SERVICES INC PHONE 206-949-0549 14838 JAKE DR SE MONROE WA 98272 Contractor's License ADCONCS936BU Expires 1/31/2013 REPRESENTATIVE: HUBER ASSOCIATES PHONE: 206-285-4882 ALLAN CO 2930 WESTLAKE AVE N#101 PROJECT DESCRIPTIOI` NEW DETACHED ART STUDIO/GYM & MEDIA RM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 122,166.00 MAIN: 548 CODE EDITION: 2009 ADD'L: 548 HEAT TYPE: PRO OCCUPANCY: HEAT BASE: 548 HEAT TYPE OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE E: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 1 Total: 0 Total: 1 Routing Date: • Type Arnaint Paid Bv: Date: Receipt: Approved/Date Permit $1,122.55 LYK 06/29/11 123655 Plan Check $729.66 LYK 06/29/11 123655 State Building Code $4.50 LYK 06/29/11 123655 Total: $1,856.71 c0 JEPt•tii COUNTY DET' COMMUNITY DEVELOPMENT t 621POFSheridan Set• Port Townsend•Washi4. c °,. 360/379-4450 • 360/379-4451 Fax "fin 9t3.368 wow.co.jef►eraon.vra.us/commdevelopment Master Permit Application MLA: ( I _ I y Protect Description,(include separate sheets as necessary). I-�C D r r 4 S Iz (C) ' Li 1 it /l.l'Chi o L-i c� Lek/ 41 a/74 hbi/a/ s Ob2��t Tax Parcel N 60/2250i�j' 0 Property Size: 5 it;icte5 (acres/square feet) Site Address and/or Directions to Property: 15 /ii;L /14/ OBI/ /„3-ire l�'��/cerr,o km' 9837(p Property Owner(e)of Record: (i / jfiS 460'45 Telephone: 20(o .32/ 42S40 Fax: Al email: bkt-ns_c�brn?o! q con Mailing Address: ypt Applicant/Agent(If different from owner):A/hi'6j 4/41i1, i w) Telephone:2O 2 26S 4�j�, -, ern all:y✓irtekbA''O!'ak:1 cis CA Mai Malang Address: 29 30 ifIcs,1/a lie , 14/11 , ,,, What kind of Permit?(Check each box that appSea 0 Critical Areas Steward:0'i ❑ Demotion Permit 0 Variance(Minor, a tjstsonable Economic Use) ❑Single Family 0 Garage Attached/Detached ❑Conditional Use(C(a), C(FY or Um�' of C)" O Manufactured Home 0 Modular j Use • La 00 Change of Use 0 Special ,(Essential P Facilities)" J 0 Boundary Line Adjustment I O Home Business 0 Address ❑Cottage Ioad ndustry 0 Short �Plat" )C D VEF 0 LongPlan" DEPT OF COMMUNITY DEVELOPPAENT ❑Propane " O Sign 0 Planned Rural Residential Development(PRRD)IAmendments"O Allowed"Yes'Use Consistency Analysts 0 Plat Vacation/Alteration" O Skwmwater Management 0 Shoreline Master Program Exemption/Permit Revisions" 00 Site Plan Approval Advance Determination(SPAAD)' 0 Shoreline Management Substantial Development" Temporary Use 0 Testes 0 Shoreline Management Variance ❑Forest Practices ActJReieese of Six-Year Moratorium ❑Jefferson0 Comprehensive Plan/UDC/Land Master Program Amendment `inquire a Par-App*rason Conference 0 Tree Vegetation Request "Requires a PY Applf adon Conference Pleas Identify any other local,state or federal permits required for this proposal,if known: I hereby designate 1Q l Fl / DESIGNATION OF AGENT // i '4'iYS to act as my agent In matters relating to this application for permit(s). owriER Srow►TvaE `� t. /, i21�vv1 Date: 61/5// . 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,indemnity and told harmless Jefferson County against all Habit's,Judgments,court costs,reasonable attorneys 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 employees,representatives or review and any required later agents for the sole County in w of applicationthe Me of the that he wants prior notice. ..1-1 inspections. 5talrs access and right of entry� unless the appUant informs the in writing at the Signature: ate: 4'//5/// 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 es 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 violets the ESA. Arty individual,group or agency can file a lawsuit on behalf of an endangered species regarding your schools)even if you are In complia� to �Countythe code.The Appfant ackn0w11daes that he,she or it holds Individual and no m conalsior Signaturfier � an AaPicanc has read this disdahier Ngr»and dales R below. Date: (O//5 / G:\PemtieCanor\###DORMS###\DAD FORMS\Muter Permit APPbartion 5-29-0340c • • • 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: A )0 CLWInic.°'i '-7 L,u5 /i (2c )yc9 os49 ( ) MAILING ADDRESS: -;/.d[8; 12I.: '!'). T '/�/)jy�i+* ul.. EMAIL: CONTRACTOR'S LICENSE 77 G� C/�d,�( //l C VMS t ?6272 1 WAINS NUMBER: ,4V CON GS ,Y6.- 86/ NUMBER ARCHITECT/ENGINEER: 4..kU ¢I,ASn . �. -'1 f PHONE (2(�p)2. 654 ✓2 FAX:(253)39S 1(15 MAILING ADDRESS:2_130 W�4'Q�r-e +t\IL' ,N Ot c7CCitt`,e,WAc f��f*EMAILQ1�/� Q�.C�t �.aviA Project Type: I Frame Type: Bathrooms: 1 Shoreline: Type of Sewage Disposal: a. New -te Wood Existing: Sewer ❑ Addition E Steel Proposed: 1 2 Bank _ Community System ❑ Alteration/Remodel ❑ Concrete Total: ' 2_ Height: ❑ Individual Syste ❑ Repair ❑ Masonry SEP Permit# -8 1 ❑ Demolition f_2 Bedrooms:Other: Water Supply: Existing: Ili Setback: f' Private well ❑ Two Party Type of Heat: Proposed: I1 ❑ Public � Total: /� Name of System: - If this is a Commercial Project you must answer the following: E V t-, Number of Parking Spaces: Current: Proposed: Num pr 1ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed QQ� tt IBC Occupancy: IBC Type of construction: Will you 4v Iood (/ic2?91'efs'/lNo If this is a Propane Tank and/or Appliance Installation permit, mark all items below teat ply: ❑Underground Tank 0 Above ground Tank Size of Propane Tank: J L I DN COUNTY ❑Heat Stove GI Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet-Stowe al; DC\' DE r CLDPMEPIT 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 ih 21 a EH Bld App Review: rT3 2ntl Floor Heated S4- t2C Consistency Review: ai' — Other Heated Base fee: l 10l, Mezzanine Additional Section: —_—. Heated Basement 54r8, 5-7g5I Plan Check fee: Unheated Basement State Surcharge fee: 50 Other Unheated Pot Water Review fee: aiSri/34 ( Garage/Carport SUBTOTAL cQ 1 i a Decks 911/Rd Approach fee: Other TOTAL: $(9( j 1 7 I Receipt Number: Iac, II Cash/Check Number: 93^- ESTIMATED COST(REQUIRED) Date: ( l _�y;`_(1 Fair market value of all labor and materials foundation to finish (i r� I C Initials: J : ; nQ�1 C C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLKS6\Master Permit Application 12-19-2006.doc / I Pi tIl • Pi tri / 20'-0; / IR ...., 651,2-8"ir-8.. <f) oo ZAN / / a (2) ., • • • ., „ , + 6 •• \ " \ ,......., 5, LAN)SCAPING ' i i . ' ! , e•Ci. s STO;JE BENCH • 1 tl I.-. . . 1 \ \ ----- - --- — a cPE n 0 (2) \ 1 1.---' 2 ' ,-, --9, ,...c) „...--..< 8 :9 '. , z 8 ' - ''', ):. F,0, 1 ( 7'9 ) '9.> z 13 R , " 'Li :-9-1 , C - f. '31 ' I- nif,f ..1.0 L..-.1 'OA. 4/ n).• ' ‘....) • F) 2 c) \'''---....--/ '6 ,.,'12 T • 1 --_-_...-- ,r5n' 2 o 2 ' :,.. z : . 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I: ::]: ::: `.. ... ,...,2 45 Mt Walker View Drive , Quilcene,WA 98376 vi m - 1 „, [D,., IL cEi'Let_ / f 6' 2'-a' 6' •_ �i ,� , o '1'..' LAN)SOAPING "II 1� ' STOJE BENCH , ---- --- 1 i] o O ego OC 2 _ Riri. moa m ,',-' LL---- -----) O mO c13 R m12 T 1 N Ls" mayo^: w I czio z r2l1go m V a o t \ ,, \ 0 04.....1 SNOVLI 3NIM --_ cao • xZ az — F '_. �1 • Zi — Q y v BIKE y e _ N z o b 1 1 f oN N SNOV2! 3NlM » g' I� — ""d h'1 m w ELLIPi1CAL , o c / F D 7, 1 1 un y m z _. _ y - 'a m ti rl._ AA G� j m O m t �. A ` n 0 •, I1 R.�n C TREADMILL o P OmD z /' f 2 / ,:. D C „____,V, D , , 3-3 / > z • SHELVES F_.__.__._. \o irl-, . a 1 ^ n G. 14R D)5" A D 13 T O 1'" z a£'FM z r J A C 14 R DI5'c o 13 T m 3 riN I p "�� pDm A A n/ -3) / 14'-4/2' 3'-a" / nmi i o� ,gar / 4. 0.. / / 4, 0.• / / 20-3Y2 / y/ /2'-1"/ 4' / 4 0,. / / O r o J O xo 0 O �� o / 24'-0'- 1 ma V <, N El I Fah' • A 1 / 12-11Yn" / O b1 Y N 1• • 'C ` L�I [�*ram N o Z ' N N. o SLOPE / o m 0 4 z z / b L-- - .-, ill 1 y. s� \ m 00'I z.7n N SLOPE \ 1 I :a ;+i t L i— \•-.\ O 3 r— 0 P' 14 R Li-.5" II' I rt 13 T 0 11" z n4 '� m 4 Na - o ©- —_--_- - �c+ o N m II 1II o \Q — —_J_._ • F� L' _._—_ nN. gg g I7 JL".b _ n - z2 y y '' 4 g 1 i o �IL T _ 1 /2'-1"/ n / 20. 0.. / 50. 00CO C� ....ary ni r'ff?Z ill �� o ono t- Burns Studio _ =+n, �w Y E_E -I o `g 1� ,.� 45 Mt Walker View Drive GI C m O Quilcene, WA 98376 ° o �I $ z N CD I / / / / / / / / -0" SETBACK NOTE: ADD NEW PROPANE LINE FROM EXISTING HOME TO NEW BUILDING ��' I--- -- "p, - ,; roUNty H Huber Associates ARCHITECTS 2930 Westlake AN e N Suite 101 Seattle, WA 98109 Phone 206 285-4882 Fax 1-253-399-7175 .a W U NO 0 8 yd� � Hoo O Q � > m v1 v 4! 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