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HomeMy WebLinkAboutBLD2011-00334 MLA11-00254 9UILDING PERMIT APPLICA N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00334 Received Date: 12/13/2011 SITE ADDRESS: 142 OLD POINT WHITNEY RD BRINNON, 98320 OWNER: ROBERT L INGLIN PHONE: 206-755-4576 DEBORAH M INGLIN PO BOX 1878 OLYMPIA WA 985071878 SUBDIVISION: Block: Lot: TX 3 PARCEL NUMBER: 601181004 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: WATERSMITH CONSTRUCTION INC PHONE: 360-412-0202 7903 MARTIN WAY NE#222 OLYMPIA WA 98516 Contractor's License WATERCI899JJ Expires 4/11/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' STAIRS TO THE BEACH TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 25,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 584 SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: —� L I5 Type Amount Paid--- Bv- ---- Receipt: Approved/Date Permit $391.25 LYK 12/13/11 128391 APPROVE !Plan Check $254.31 LYK 12/13/11 128391 State Building Code $4.50 LYK 12/13/11 128391 MAR tZ Total: $650.06 Jefferson County Plannir, & Building Deoartmen- Jefferson County Building DiIlion Permit Num.. BLD11-00334 Applicant: INGLIN 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 7 Post Holes - / rcJ/GJ Framing J •/2-- l-N FINAL INSPECTION 5"4 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD11-00334 1.) 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. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 4.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 5.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 6.) The conditions specified in the shoreline substantial development permit issued on August 9, 2010 apply to this proposal. THE APPLICANT SHALL ADHERE TO ALL CONDITIONS IN THE SHORELINE PERMIT ISSUED UNDER SDP10-00011. SFA9° N . JEFFERSO•OUNTY •DEPARTMENT OF COMMUNITY DEVELOPMENT `4 621 Sheridan Street • Port Townsend • Washington 98368 Ki 360/379-4450 • 360/379-4451 Fax ��NOZO www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1 1 -c5(.-( Project Description(include separate sheets as necessary): CU«D STAIRS To THE 6EAcH. Tax Parcel Number: 6rP// 8 10(G9 Property Size: 6 -G /--6g-e. (acres/square feet) Site Address and/or Directions to Property: / f2 OLO pr. WHITNEY RD , SR/NAioN I WA 9832 cP I Property Owner(s)of Record: R v f3 E RT ki O E f3 o R A l+ L N C,c-/A/ Telephone: 3ea,-- 9S/-6979 Fax: 36a)-70c-43-72 email: Bob. ingjrn &Dinamic...,t- MailingAddress: 17/1 670VE/ZA/oi2 SIEVE s- CT SE) Ot_yp-t/7,4-, 1n/A 95---SCP/ -- 3694 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Wh t kind of Permit? (Check each box that applies ❑ Lot or Road Segregation Luilding 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** 0 Manufactured Home -0 Modular - 0 Discretionary"D"fir►han ed Use Classification 0 Commercial* 0 Special Use(EsentiCe?ab' e� ❑ Change of Use 0 Boundary Line Adjus ilat, F.' r- ❑ Address 0 Road Approach_ 0 Short Plat** "" ' 1 ❑Home Business 0 Cottage Industry 0 Binding Site Plan** _I ❑Propane 0 Long Plat** 1 T r ,. I ❑Sign • 0 Planned Rural Residential Development-(PRRD m In ments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** L. 1 ❑Stormwater Management 0 Shoreline Master Progra ' io I ** ❑Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management,Su pi i r 'D'eVelopment** ' ❑Temporary Use 0 Shoreline Management Varian NITY DFVI I_p,i„!i N Cl 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;-it 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 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 appINati=ye oche nts pr.r' notice. J Signature: 1, Date: I Z/ S / ZQL 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 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-trap a ble espo�sibili for a ering t9 and complying with the ESA. The Applicant has read this disclaimer nd signs and dates it below. Signature: `� P•` ,lic„,, Date: / Z/ ?�Z@// • • . . 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 a mm the responsibility the G eral Contractor for the proposed project. Signature: 0--6,- .&• , _ �,L Date: l 2—/-S/2-Cfi/ 1 • GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PFIcNE: FAX: W/1TE:1 'i'li T1--1 Co Ns 7-IzL1c T-luni ;Lnl6 , (3bc4 412 - 02_02 (±4,0 `//.-- -c�z4 MAILING ADDRESS: W i k L.Ar'lL3SF<1Al ST. EMAIL: ji vrl Inl Witt-ers"e)5bc,f Gbc./, it e -/- CONTRACTOR'S LICENSE TO H't H/ATEA, W A ,)"YSl2- WAINS NUMBER: WATER-CS999TT NUMBER / 32-, y6l0i ARCHITECT/ENGINEER: O RA OL El C. S,,,i i Ty , p,c, PHONE (36(0) -g'p-9 Y 2lpFAx:(36g)4/z.-C2203 MAILING ADDRESS: 551 S' 1_A t'i65 le-1 n1 5'r/7-I,4 ti or4r€(L,/JAEMAILS/,, ,i1,./a-1- rs'ea�Ioc,1Ioba( , p,e 1- Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: le New "Wood Existing: C Sewer C Addition C Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Heig 51 'ht:- l� , ❑ Individual System ❑ Repair 0 Masonry SEP Permit# _ 0 Demolition S Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: - /,3-58.m' 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 / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 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 [ urrent Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: . 2r4 Floor Heated Consistency Review: ai 3_ ._.__. _....,.._.- _.-._--Other -..____.__.. �_._. _._.---.--- -- . . - "Base-fee: _I I Mezzanine Additional Section: Heated Basement Plan Check fee: a 5 31 Unheated Basement State Surcharge fee: L 50 Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL g(613• CIC° DecksLANi)/NGs 911/Rd Approach fee: Other(sTA IRO CD 360 TOTAL: $ Rj„3 Receipt Number: 98361 I Cash/Check Number: uteri ESTIMATED COST(REQUIRED) 4-E,�m O`' Date: �/ .Fair market value of all labor and materials foundation to finish -1 A� Initials: t 1\ Y y %• a ^1 • o J _ qi 40 r yi.� s°�y� hill; • re 0 .�...��^f'" h w^" 06 m 6 a m ' •mIe r+, , D o `. y !b �- 09 : !i • b n N R Vi rt ;/ �9 �,,1. 1 y. s n yi m 1�'-C -i ill A0, r,- N Z a w c p ; c• g 4 %.� L ' o° q 73 VI O z b 3 ' o < A n o o Mv14�C/2��� :.'.o �o^ c) m m z m 0 F < 9 v rt -1 tb m m vD In < rt t 0 � cm . ` _C ha z N.-b N N �\�\ y. i'ye O m m 73 TJ (` 0 $ a N \\ gg y :73, O ( \F \ Z- 4 nT � 70 III ? .�< < GI GGy Q ? 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