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HomeMy WebLinkAboutBLD2012-00005 • • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD12-00005 Received Date 1/4/2012 SITE ADDRESS: 2061 HASTINGS AVE W Issue Date 2/21/2012 PORT TOWNSEND, 98368 APPLICANT: DENIS W STEARNS PHONE: 206-346-1892 1000 UNION ST APT E SEATTLE WA 98101-1964 2 SUBDIVISION: CAMERON SHORT PLAT Block: Lot: PARCEL NUMBER: 001054021 Section: 5 Township: 30N Range: 01W CONTRACTOR: LANDMARK CONSTRUCTION INC PHONE: 425-821-8578 PO BOX 8298 KIRKLAND WA 98034-0298 Contractor's License LANDMC1077CE Expires 3/1/2012 OWNER, DENIS W STEARNS PHONE: 206-346-1892 if different: 1000 UNION ST APT E SEATTLE WA 98101-1964 PROJECT DESCRIPTION: DEMO EXIST GARAGE ATTACHED TO SFR Directions To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 2/21/2013. REQUIRED INSPECTION: FinalApproval: - ✓ Ste_ / 2 /c7j BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Propane.rpt 10/29/19 illU ILDING PERMIT APPLICAAN B 0005 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00005 Received Date: 1/4/2012 SITE ADDRESS: 2061 HASTINGS AVE W PORT TOWNSEND, 98368 OWNER: DENIS W STEARNS PHONE: 206-346-1892 1000 UNION ST APT E SEATTLE WA 98101-1964 CAMERON SHORT PLAT SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 001054021 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: LANDMARK CONSTRUCTION INC PHONE: 425-821-8578 PO BOX 8298 KIRKLAND WA 98034-0298 Contractor's License LANDMC1077CE Expires 3/1/2012 REPRESENTATIVE: BERNIE BAKER ARCHITECT, PS PHONE: 206-842-6278 JAY VOLZ 5571 WELFARE AVE NE PROJECT DESCRIPTIOI DEMO EXIST GARAGE ATTACHED TO SFR TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: — 4—(a Type Amount Paid By: Date: Receipt: APPROVED Permit $74.00 LYK 01/04/12 131344 State Building Code $4.50 LYK 01/04/12 131344 FED E ! 2 Total: $78.50 Jefferson County Planning & Building Department ad _ • • ��,gSON Cod JEFFERSON COUNTY �} DEPARTMENT OF COMMUNITY DEVELOPMENT ' ` `d 621 Sheridan Street • Port Townsend •Washington 98368 4Afife360/379-4450 • 360/379-4451 Fax Its,iTs of O3 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: JC' m� Project Description(include separate sheets as necessary): 1 (2.1)(t) ,-)ct..-)17 al A--c-PNciretN 9 A c e Ay. Tax Parcel Number:00 S-054-- 02\ Property Size: 1.51.A4-I l\I‘1-4c ' 'f(acres/square feet) Site Address and/or Directions to Property: /../0fal HA'STI-t-Lv.S Q-cv_ IDS t F09-1- 1-01,4tJbI3 Property Owner(s)of Record: Di.s ST .RN.S Telephone:ZOb- 3 - \&l`1- Fax: email:denys.5'}ParR r \ccirvt Mailing Address: l000 U Nkokk SS-( APT- E S 411-1 - WA 6t`,\Oil Applicant/Agent(if different from owner):'13 �ttt 5Ay.EIZ AV-CIArn cT �'S IA`( \lot,2 Telephone: 9-O(0-$4-2--(01-1-$ Fax: email: e 1;xrri‘e_b0- Mailing Address:551-1 Wring-tc. A./6_ tl�t 15.41MIlittrxLa_ lst_u1, otv\Lo arr.Ani keLF..crinn What kind of Permit?(Check each box that applies •BBuilding 0 Critical Areas Stewardship Plan 8 Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) .d Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or i T-sift ❑ Commercial* 0 Special Use(Essential Rl ie�-F il' j"' ❑ Change of Use 0 Boundary Line Adjustment r--- I ❑ Address 0 Road Approach 0 Short Plat** ' i 1_, ❑Home Business 0 Cottage Industry 0 Binding Site Plan** ❑Propane 0 Long Plat " JAN - 4 2012 ❑Sign 0 Planned Rural Residential Development(PRRD)/Amen t ** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** __, i ❑Stormwater Management ❑Shoreline Master Program ExemptioltdP@itettRi isions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial't?evelt5pmetttorr^i NT ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑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: •►'• o V ` ] It?ESIGNATION OF AGENT I hereby designate N i G (J' ( / lfa i--.yc c f� to act as my agent in matters relating to this application� for permit(s). OWNER SIGNATURE , Date: I //Si/ / i By signing this application forrn,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 ap ication that he or she wants prior notice. Signature: LA(,A ' ' Date: 12`2©l�ll The action or alFtions Applident 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-tran able respon ibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 1212-0120t 1 G:\PemutCenter\ ##FORMS###\DM)FORMS\Master Permit Application 5-29-08.doc t • • 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: L-AAAV MAR4L-- Cl7t R,JCT1 ot-t< LI1C- (tore)'All-0(14 i ( ) MAILING ADDRESS: Tb St� `�\' ` . • -Bb34- EMAIL:s ne..benr\e le.l nc 2sA ,ret CONTRACTOR'S LICENSE WAINS NUMBER: I A MG1 o��Gt- NUMBER ARCHITECT/ENGINEER: 4/- � 1�22_ EkT �� PHONE (yy ) ���, FAX:( ) MAILING ADDRESS: c-.1 `_\c, .•..C, A4 ,4A_ Lt4.42-vD4'K. .`�LI.S eL �I `e_iG 1ejoovcY'2Y'G�t�'eCA •c or.1 Project Type: '�r�YFrrame Type: Bathrooms: Shoreline: Type of Sewage Disposal: C New L' Wood Existing: ZVZ I Sewer C Addition El Steel Proposed: 2_J2 p s i)Bank Z'( D Community System a' Alteration/Remodel C Concrete Total: Vh- Height: N. Individual System o Repair C Masonry SEP Permit# Demolition C Other: Bedrooms: Water Supply: Existing: 3 Setback: pp y _1 Private well C Two Party Type of Heat: Proposed: 2 il Public e.TQ FuRN,nCI^ti Total: 2 Name of System: Pt -'r -W tA,sf-ter, 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 Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service2_.Yes1. If this is a Propane Tank and/or Appliance Installation permit,mark all items below a � [I � -,pie � E Underground Tank i Above ground Tank Size of Propane Tank:I F ) r--- I Heat Stove i Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank 1 Pellet Stove i Other I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No N _ When applying for a permit to install a propane tank you must also submit a site plan showing all o the bbildi , II property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic syste ponents, including the reserve area. Square Footage Current Proposed For Office U_se'•Only Main Floor Heated EH Bld App Review: 2�Floor Heated �� Consistency Review: �j cU Other Heated Base fee: 0 7H Mezzanine 1- Additional Section: o O -- Heated Basement d U Plan Check fee: Unheated Basement State Surcharge fee: O O Other Unheated Pot Water Review fee: t:3�rag SUBTOTAL Decks 911/Rd Ap proach Other •— — TOTAL: $ ( 5.6Receipt Number: 1 31304 Cash/Check Number: 12 J 93 ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish (—Li.-- Initials: • G:\PcrmitCcntcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 1:: = -l i: ':.. - - ... ....i,... :.:-... ., :L_-:.".0 ._ _._ „""` . elliAiiiii•ir:x,--t r13tTnnir P(iinn firm Air Anrff TC b( -5 �' 3,-` ? 4O- Limiter Lave NW l al)539 7610-FAX(36T 43-3:4,3}e `,,� P , eles Q t 4171466Demolition a ol on Permit '4 .4 A,f!, RaymondC On 9�,. 7 `' -N _.-,y# r .ORCAA..V4 ,7J' r,ac• Y'.i'- :2--1 r-�..:r_. -rnyaw,--.ea,+.ar•_,---,.-.-.—,_._ .- �gzr......,....w.. .+.n,.ITa'."�r'„mr-'3`-^"„-vm,,,....,,,, .r+.rve ►A thrwr oecmpisrire identini dwelling—Permit he:S35.00—Prior Nodes-Nonrefundable 4 I Other Strnet res=Permit fee:$60 00—10 worm dgy wait period-Nonable ?1to rt TY O ! m:-d. V e-tAkt, ST t:,A-' 'AS FAX: f Mobli� - , 1 T t;t q t is?*rx=,.- City; — Staff: f ij �' 1CW U..3 s4a0t4. ST,. IN VT= 1 , 1 't.- 1 A SI0l _ 1 6)(.1 i-yikz-it-14 •••t _j,�_I ._.. __1 t 1'-l 104- SVS� i 7 -Limy n DJMOI T1ON CONTRA-C` 0R f_I k'ifnrcle 2 .p perty t eta - i B 'sin 5 �v�me Phctt� �► _ . ttk EST-. - _u.._ ., - FAX- ( ) 2A SS' S. Mg 1!=ii'rff5; Ca State; l : i- '-?.._.Bo` - _ 1-' __- • ' . ,k.�tz1�--A.... Lip} •q • i D Io.I.tl`io It\TRiiM6::1 ON Of S r. b tur a zQitihecJ:• 1 Sr Co Sian.Pare . . I '- — — — 1 "Mikrtt,t- .1 5 tom.. •• y. 1 1'�a9tt-c ,3ta Q1 ,. _ !Asbestn€p eaent kres , . -. ..�� 3�: p� ��es - 1+70 ell identified aebeatoe been i (" - removed Yes No DE:MOL-'i C5 P1'OJ :,i "CA tEGOR*r I {�f iLi h�'`A.n6 .z ( cosytny J..v.aAI32m r 1�'ih-e 1 na+g�,.iJ,:i C z, F 1 C•_;«:, 1...,�— lti��s.a1.rea 40.t'i0(.....■�,t a�raa a fi'i�Capra ent ilDen3amatias C�maaoiad oxxF,g) I have load and wig Abide by the conditzozre set'forth it this peranreanct aetyasideztthim thrleto. 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