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Home My WebLink AboutBLD2011-00210 BUILDING PERMIT APPLICAT!N BLD11-00210 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00210 Received Date: 8/1/2011 SITE ADDRESS: 41 OLYMPIC BLVD PORT TOWNSEND, 98368 OWNER: MARK L STARR PHONE: 360-390-5648 BARBARA B PATTEN STARR 41 OLYMPIC BLVD PORT TOWNSEND WA 98368-9651 DISCOVERY BAY HEIGHTS DIV 1 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 947300001 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: HABILIS CONSTRUCTION LLC PHONE: 360-301-5230 31 PETE'S SPUR PORT HADLOCK WA 98339 Contractor's License HABILCL921C6 Expires 3/10/2012 REPRESENTATIVE: HABILIS CONSTRUCTION LLC PHONE: 360-301-5230 CASEY MCKINNEY 31 PETE'S SPUR PROJECT DESCRIPTION REPLACE A/G 120 GAL PROP TANK LINES, NEW HEAT STOVE & INTERIOR REMODEL(NO ROOM CHANGE) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 61,160.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $727.75 LYK 08/01/11 127965 APPFioVE1 Propane Tanks/Stoves $213.00 LYK 08/01/11 127965 Plan Check $473.04 LYK 08/01/11 127965 AUG 1 J11 State Building Code $4.50 LYK 08/01/11 127965 1 Total: $1,418.29 Jefferson County Plannin & Building Deoartmer, • Jefferson County Building Division Permit Number: BLD11-00210 Applicant: STARR 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 /'_ _Gl ti Wallboard Nailing - - / Gas Line: Interior Gas Line: Exterior /1_) _71 4 Free-standing Stove �(`7-1 C1619 Smoke&CO2 /1-7--` f n y FINAL INSPECTION / ` -7. &` FINAL PECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR �goN c0A JEFFERSON C TY • • DEPARTMENT OF MMUNITY DEVELOPMENT `"� 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �gS,�Np�p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: -,` Ce Project Description(include separate sheets as necessary): N ��! Tax Parcel Number: Property Size: (acres/square feet) Site Address and/or Directions to Property: l t) lY\ Property Owner(s)of Record: Telephone: 2!a v - 3 1O ( 6 Fax: email: Mailing Address: y/ 1.J y/ripe .ar T ow Nrs.in /( )*' f R 3 G fs Applicant/Agent(if different from owner): /t Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies -tIBuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minn, ❑ Single Family 0 Garage Attached/Detached 0 Conditional Usd IC{ic, elg a•gC I F 1\ ❑ Manufactured Home 0 Modular 0 Discretionary"D"or U.' '„-•• •a,..,,;.,, ❑ 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** 0 Propane ❑Long Plat'"' j ❑ Sign 0 Planned Rural Residential DENati plt*ftt YRRD)/Amen ments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/AtteratiOrr OF COMMUNITY DEVELOPMENT ❑Stormwater Management 0 Shoreline Master Program Exempt° ermRevisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'"' ❑Temporary Use 0 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 Confeie`nce Please identify any other local,state or federal permits required for this proposal, if known: 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 attomey'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 application that he or she wants prior notice. Signature: 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: ----------------0 — ~ 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: � .. ; ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: J-i`4 I NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑. Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: _ _ Bank ❑ Community System El Alteration/Remodel 0 Concrete Total: Height: 0 Individual System Cl Repair 0 Masonry SEP Permit# LI Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: jl - ❑t Public Total: Name of System: 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 rPOsp A IBC Occupancy: IBC Type of construction: Will, N If this is a Propane Tank and/or Appliance Installation permit,mark all items bail that Apply: I Underground Tank (Above ground Tank Size of Propane Tar'k: I Heat Stove t Cook Stove I Woodstove I Fireplace Insert . I Hot Water Tank I Pellet Stove I Other ) Is this appliance being installed in a Manufactured/Mobile Home? Yes / No) 1 1 ! When applying for a permit to install a propane tank you must also submit a the plan shwitiggOlotgee buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buijlq {s gp rltgls/Om components, including the reserve area. Square Footage Current Proposed For tffic Use )nly Amount ?Revision Main Floor Heated j w:EH Bld App Review. 21°Floor Heated y Consistency Review _ Other Heated ,' f x Base fee: , � ;7. 7j Mezzanine Additiemal-Section: I r.(t ;�: 70I _ .> Heated Basement Plan heck fee: 3 i Unheated Basement State Surcharge fee: ;( i Other Unheated Pot Water Review fee: '� Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other i TOTAL: $ I''1 f g Receipt Number. i Cash/Check Number: 1 .q3 ESTIMATED COST(REQUIRED) Date: �.F-air_madi@t value of all labnr and materials foundation to finish C - '9I i 1(wCi Initials: ' .-- Laserfiche WebLink • • Page 1 of 1 Laserfiche' We 3 L i n is Help Logout My WebLink Browse Search t r� ay Page t3 of 15( Go VEI _y °A 1 Un it.; 0® 0 Ur)Ca•. 23.98% - i+it Pages 13 to 15 Template:Permits JEFFERSON>Environmental Health>Septic files-on site sewage cases>Public Files>1982 Public files SEP82>SEP82-00015 . Case number L>raeovaKy Ctory ,Vel4'Alr5 , ti.v. */ ..-.... —• do SEP82-00015 Parcel Number Z.o r `e./ P op s01a ..»v I OO' . ttfrS �'Ay 947300001 /Zo `.90 Description �,o.¢ow./ J�N4rLpe") Issued Date �• 1) &0 Pa.•kr.,as c>u• a1.r,.,t�%oR dY CIA / Finaled Date First Name 3)Ca1I-co- 4-i^aI1^SPEt'tio^' a '' • hat.kc:lf; - eft , 9 e Last Name a1 t ; /I , 41 A 4, I jS Status `{/ yF IF, 4 . ProjNo u i I. * Tex° GANoCo. t r MLA o,t Ga4s s/•s/@o • 7f• Qpo t. ..1.a..4 IS s,re.a.i.•L..wrrenl s,pelb t Document Type V . 1 r. 40i4 - /�4r /L`i�fl --..-----• 24s I ..., tl+G spa, ei 1 fl/I � tiro ,igi . . 0 v . . r•r•-• \; ' . / . ` • \ .....\\ ,.. . . . 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