HomeMy WebLinkAboutBLD2011-00288 WILDING PERMIT APPLICA• Re viewview N B Re
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00288 Received Date: 10/20/2011
SITE ADDRESS: 1611 DABOB POST OFFICE RD
QUILCENE, 98376
OWNER: ROCK POINT OYSTER CO INC PHONE:
1733 DABOB POST OFFICE RD
QUILCENE WA 98376-9709
SUBDIVISION: Block: Lot: 5
PARCEL NUMBER: 701091001 Section: 9 Township: 27 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: DAVID STEELE PHONE: 360-493-2302
8043 68TH LOOP SE
OLYMPIA WA 98513-5229
PROJECT DESCRIPTION REPLACE 62' OF DECK RAILING
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 2,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: TS) .
Routing Date:
Type Amount Pa' Bv: Date: Receipt: Approved/Date
APPROVEP
Permit 69.25 LYK 10/20/11 128269
Plan Check $45.01 LYK 10/20/11 128269
State Building Code $4.50 LYK 10/20/11 128269 OCT 94 21111
Total: $118.76 Jefferson County Planninc
& Building Department
Jefferson County Building Di*ion Permit Num. BLD11-00288
Applicant: ROCK POINT OYSTER CO INC
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
Framing etJ ^l7
FINAL INSPECTION1.Z,12_
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
V
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gravel driveway & parking
10
office
9
storage shed
(0- tanks
shop oyster larvae setting 0.
Laboratory
Residence I O O O oa�y a Culture
--------- ----n\- tanks
'ailing Replacement I lI
DAbob post Office
Rood
II
Gazebo Loading Dock
0 �-„,,,`s
, • • • L\ � O, 1r 0 V
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piling I r- I\5eaganal floats OCT 2 0 2211
/Y1NNW Line
JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
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Lot 5, 5ec 9, T27N R7W Rock Point Oyster Company, lnc Railing Replacement
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44' o JEFFERSON COUNTY
7
0i DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
'44 01.0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: NC) (Y1cA �
Project Description(include separate sheets as necessary):
Replace deck railing
Tax Parcel Number: 701091001 Property Size: 17 . 74 acres (acres/square feet)
Site Address and/or Directions to Property:
1611 Dabob Post Office Road, Quilcene, WA 98376
Property Owner(s)of Record: Rock Point Oyster Company, Inc.
Telephone: Fax: email:
Mailing Address: 1733 Dabob Post Office Road, Quilcene, WA 98376
Applicant/Agent(if different from owner): David Eit P P 1 P, CFO / owner
Telephone: 360-790-7408 Fax: email: davesteele@comcast .net
Mailing Address: 8043 68th Loop SE, Olympia, WA 98513-5229
What kind of Permit?(Check each box that applies
6Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Mi AAej $cam
❑Single Family 0 Garage Attached/Detached ❑Conditional Ur e as O(44f�vie
❑ Manufactured Home 0 Modular ❑Discretionary p" assification
❑ Commercial* 0 Special Use( ssentlal Public Facilities)**
0 Change of Use ❑Boundary Line 4djj,istment 2 0 ; i
❑ Address DI Road Approach ❑Short Plat** I ', CT ` `
❑Home Business ❑Cottage Industry ❑Binding Site P146 r"i'
❑Propane ❑Long Plat** u L
❑Sign ❑Planned Rural eside itittlotilit&PRIRDAmendm nts**
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/A eratio *" COI�IMIINITY OF\IFtUpttt
❑Stormwater Management ❑Shoreline Mast io ermit Revisions"
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* El Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑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 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 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 req ' later inspect ns. s access right of entry will be assumed unless the applicant informs the County in writing at the
time of the applic on t at he or sh an,,.r. I.1.s.
GG /
Signature: C I C - Date:/0% J bi
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 re in compliance wit• e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfera y4 esponsibik ,.r a''—'Ing to a complying with the ESA. The Applicant has read this discl ya aimetd sig/ls and dates it below.
Signature: 46 Date: IC /i /f
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• a
BUILDER STATEMENT
The signer of this statement does hereby ce i that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assum the responsib• o1 Generals _tractor for the proposed project. �j
Signature: 2/_%Z ��� C Date: /C� /i h At
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New X Wood Existing: ❑ Sewer
n Addition ❑ Steel Proposed: Bank ❑ Community System
X Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
X Repair ❑ Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: I Private well ❑ Two Party
Type of Heat: Proposed: 1 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 I 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 T i Pellet Stove 1 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:
2na Floor Heated Consistency Review:
Other Heated Base fee::
Mezzanine Additional Section:
Heated Basement Plan Check fee: D1
Unheated Basement . State Surcharge fee: /j rf-1-�
Other Unheated Pot Water Review fee: _.1.------
Garage/Carport SUBTOTAL ' I g.�/_
Decks 936 936 911/Rd Approach fee: Y�
Other 62 ft . of railing TOTAL: $ 1 I21J0
Receipt Number: m aW l
„,,,..,.
Cash/Check Number: _1 (
0^C�
ESTIMATED COST(REQUIRED) Date: �`�'' ���'
.Fair market value of all labor and materials foundation to finish ' CIC�
$2 , 000 . 00 Initials: y,
G:\PcmtitCcntcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc