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HomeMy WebLinkAboutBLD2011-00181 ItILDING PERMIT APPLICATRN MReview00p1e:I 52 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00181 Received Date: 7/12/2011 SITE ADDRESS: 780 SCHWARTZ RD NORDLAND, 98358 OWNER: ALVA E AYRES JR PHONE: 845-359-3781 DEBRA A AYRES PO BOX 71 NORDLAND WA 983580071 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 021282003 Section: 28 Township: 30 N Range: 01 E CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-7119 6727 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License SCHWECI001 BG Expires 2/4/2012 REPRESENTATIVE: KURT SCHWEIZER PHONE: 360-301-4058 6727 CAPE GEORGE RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NEW DETACHED HTD WORKSHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 942 VALUATION 110,000.00 ADD'L: 504 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 84 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2PARTYWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 1 Total: 0 Total: 1 Routing Date: `7- 2-ll Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,049.75 LYK 07/12/11 123695 APPHovErsi Plan Check $682.34 LYK 07/12/11 123695 State Building Code $4.50 LYK 07/12/11 123695 Total: $1,736.59 JAN sci 2112 Jefferson County Planning &Building Department • CONDITIONS for Building Permit# :BLD11-00181 1.) See BLD11-00179 for conditions that apply to this case and property. Jefferson County Building Dion Permit Nu*: BLD11-00181 Applicant: AYRES JR 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 It -il-1Z Setbacks M 11�V a — propane tank Erosion Control ` ,jam Foundation Footing lD_Y_/ Z (� 44- Footing Drains Foundation Stem Wall /0-it-I L Underground Plumbing Straps(hold downs) ;1 :- q-7 0 Ext. Shear Wall Nailing 0_44_ Rough-in Plumbing Framing zim3 /(,//3 Blocking Airseal Insulation:Walls Insulation: Floors 4 -23 1\ Insulation: Ceiling Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Wood/Pellet Stove 11 1Q k Drywell/Alt Drainage Address Posted 1i I� 14 )L" FINAL INSPECTION 11616• FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR -;-- "5° e0 JEFFERSON COUNTY w _ . ' �- DEPARTMENT OF COMMUNITY DEVELOPMENT "a "\ o '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax p www.co.jefferson.wa.us/commdevelopment Illir `S`AIN0 Master Permit Application MLA: 1 " I, _52_ Project Description(include separate sheets as necessary): 4T Vc Tax Parcel Number: Da,1"),D,003 Property Size: frp 4:square feet) Site Address and/or Directions to Property: —7 ?o ,SC.14 W a RTzL ith. kicR o L.1,9/v rJ t lht�4. — Property Owner(s) of Record: 130 4- DE t3 R A 1 yR E 5 Telephone: 913 v -3 13 " Co J 9 g) Fax: email: [)a ll y Res t tt U ER t 2ok). NE I Mailing Address: 7 J 7 T. I w ltJ$ i cK t NY 10'(.0 Applicant/Agent(if different from owner): V A T. 1 .5 c.H UJ El ZE/. Telephone: 3(.O 3O1 LiOS")i- Fax: 3(4L,O 3RS-"? 119 email: lVRTS 0cli3LE•Sf D•G-0''\ Mailing Address:_( 71,1 C APE G a-d R&e. R D. Po RT -"'O w fU S e"&1) ;at kind of Permit?(Check each box that applies ❑Lot or Road Segregation wilding 0 Critical Areas Stewardship Plan Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C)** O Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed fi t V �\ O Commercial* 0 Special Use(Essential Public a¢l I O Change of Use 0 Boundary Line Adjustment U' j O Address 0 Road Approach ❑Short Plat** ❑ Home Business El Cottage Industry ❑Binding Site Plan** K Propane ❑Long Plat** Lii , ❑ Sign - • 0 Planned Rural Residential Develo ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** JEFFERSON COUNTY O Stormwater Management 0 Shoreline Master Program Exemptiai/PaiNiMitaidinilftPMENT ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** O Temporary Use 0 Shoreline Management Variance 0 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 k v R`1• .c H tN Et z E"fk to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1).=— l ` M,'/ Date: 1 } (: 1 t i I By signing this application form,the owner/a nt dttests 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. Staff arre,ss and right of entry will be assumed unless the applicant informs the County in writing at the time of the apcation that h or she s . r notice. `/,‘,/Signature: 7 Date: l I 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 detined 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-tran I responsibility for ad ng t nd complying with the ESA. The Applicant has read this disclaimer nd igns and dates it below. Signature: t izq Date: to (( ' OS/30f2011 14:@5 3603857. n v' ?5\6\ (3'‘\` .Q . ,_:,He.,7- 0 PAGE Ei2 ERALPEft STA1134rin The signer of this steterrient does hereby certify fast Ray ere the Owners of the parcel r&erensed heroin.that they are not tiottrised contractors and tttat they vill be*sainting flee responsibility of the Waal CalltrOctOr for the proposed project. Signature: —,.. .. - .--, GENERAL G0NTtAGTt t OR MANt1FAMMEo Hoag fs9TALLER: PRONE' FAX, C 1-{v�.3 C-t-1-Ere, t�1•ST 4.-1-\o ( :.;.a • } t\"i., ( ) o f s ' i4 1,e,rra A dp.7, ,"Z 6..) f7 Ca• ;2rz,4, fa1), bass: '1 U a'r 4 CONTRACTORS LICENSE WNW N ii A P 1 Nii kreuk AnHR60T/EN4tNC6R; in Pao 1,u _T,a K PHONE ._ -- -- t �MruLw4At7nrtrs$:P,4.Sc�, , JO24.r LrsNG b^ N t V.11$ .1. l=MA1L 1=f tAT '� �,of4 PKO 2e4C 5p 9. t',cf'�"1 Proms Type: ' Frame Type: Bathrooms: p Type New Wood �; Bank p Commu+tly System 0 Addition C Tom: individual ayerfenn L7 Co G Masonry �'._ SEP Permit* 1"- = LI w, Repair 0 Mascxlry ( � Water Supply:�ertro Lion 0 Gttmwr'� Setback; rt Private wee o TWO PaltY ic I. fri PublicTypo Proposed: otal: • VT-. Nertte of By+frtem; . f this is jt Ctxamercir i tame Number of Parting Spaces: Current— . Proposed: . - Nu nubet Of AM Parking Spaces: Number of occupants(lnCludea owners,tenants,employees,tic) Current vlfllt Y h FoodPOWo$ad Service? Y l a IBC Occupancy; IBC Type ol construction: ttnyi lea!puerile Tank sager ) ' ` --v :i i r .:I:: ,r.•! .,,- i- I r=, _ \�/ - i Underground Tank t Above ground Tank Sine of Propane Tank: NM 1 Heat Stove I Gook Strove i Woo ve i Fireplace insert I Hot Water Ten i Pellet` Aif 1 Outer_ is the stints beinfl 1. lie¢ f tH Yes I No I II When applying fot a pant*to instal,a propane tank you must oleo tune**OM plan • '� i of the buildings,all p ,•- Tines,tank location and sits,diiitommio from Om mow s on*to.N property Me%bib'`'. ."a a sYstum amPoitet- ftmetuchemA the mows tiros. , rt.. rs.. - : Squat* ••• :.- Currant P .i - ` •. -:.. . . f...�..• ti'. ...„ t i +•_� -.:- - Mein Floor Hosted Eli Et•App Review: 2317 Floor Heated consistency Review a Other Heatedt 6 `I 1 • . . _ t. 1 tutezninine ir %r Ctwck.fee:Heated Bseemerit . ' %,j., ` ,<J �^ Thnt*ntec3 Basement J~ '''' Stete rge 4 3 Other Unheated Pot 1Nstast Review tea,; Garage/Carport . 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