HomeMy WebLinkAboutBLD2012-00047 JILDING PERMIT APPLICA•N BLD12-00047
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00047 Received Date: 2/14/2012
SITE ADDRESS: 512 MALAMUTE LN
PORT TOWNSEND, 98368
OWNER: ALLAN H VANCE PHONE: 360-379-4028
NANCY G VANCE
512 MALAMUTE LN
PORT TOWNSEND WA 983688731 MOUNTAIN VIEW VISTA
SUBDIVISION: Block: Lot: 14+
PARCEL NUMBER: 974600014 Section: 8 Township: 29 N Range: 01 W
CONTRACTOR: KNIGHT FIRE PROTECTION INC PHONE: 360-417-0505
2509 W 19TH ST ._._
PORT ANGELES WA 98362
Contractor's License KNIGHFP044LK Expires 5/24/2012
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr FIRE SPRINKER SYSTEM FOR NEW RESIDENTIAL GARAGE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 2,438.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: -
-1y- 1
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $83.25 LYK 02/14/12 131452 APPROVEDPlan Check $54.11 LYK 02/14/12 131452
State Building Code $4.50 LYK 02/14/12 131452 FED D E.Xb12 15 S,t
Total: $141.86 Jefferson County Planning
& Building Department
Jefferson County Building Dion Permit Num BLD12-00047
Applicant: VANCE
BUILDING PERMIT INSPECTION APPROVALS Npplicable 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
Hydrostatic Test r.' , /2 (r7lFlow Test , ( -- .
Fire Alarm Init. Device 42 3_12_ .1 -I
FINAL INSPECTION 4-Ps-it_ -�j
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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JEFFERSON COUNTY
p` DEPARTMEN,T OF COMMUNITY DEVELOPMENT
*N "i, 621 Sheridan Street•Port Townsend•Washington 98368. ._.
36f11379 efer •
Lwa.0 5�3451 Fax
wow.ce.;jefferson.wa.usicommdevelopment
Master Permit Application MLA:
Project Description(include separate sheets as necessary)
Residential Fire Sprinklers-(New Garage-permit#BLD11-C)0320)
Tax Parcel 974 EiOQ Q 14 Property —
Number; Sire. 6.34 acres
(acres/square feet)
Site Address and/or Directions to Property: 512 Malamute Lane, Port Townsend -Week Week ,
Property Ovvrier(s)of Record:Allan Ft.Stance
Telephone:(360)379-4028 Fax !email:
rs 2 Malamute Lane.Pon Towesertd,Waahi ton 98389 ..,.R !
Mailing Address: �B
ApplicantlAgent(if different from owner): Knight Fire Protection,Inc t 1 4 � r�
Telephone: 60)j7 0505 Fax'(3tl1)4522.8t/ �e L medotyt 1on,wm
Mailing Address 2509 West 19th Street,Port Angeles,Washington 983fel
What kind of Permit?(Check each box that applies JEEFL�tSuN Cuurt f Y — `
I1lBuitding (let, Fi t t-B 0 Variance(Minor,Maimlut Rea' ? LOP''
0 Demolition Permit 0 Conditional Use IC(a),C(d),or CI'°'
U Single Family i 3 Garage Attached/Detached C!Discretionary"D"or Unnamed Use Classification
0 Manufactured Home l i Modular Cl Special Use(Essential Public Facilities)
O Commercial* U Boundary Line Adjustment
O Change of Use 0 Short Plat**
0 Address 11 Road Approach 0 Binding Site Plan**
' 0 Home Business U Cottagelndustry Cl Long Plat**
0 Propane i7 Planned Rural Residential Development(PRPD)lAmendments**
O Sign Li Plat Vacation/Alteration.*
O Allowed"Yes`Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
Ci Stormwater Management U Shoreline Management Substantial Development**
Ck Site Plan Approval Advance Determination(SPAAD)* 0�y Shoreline Management Variance
U Temporary Use CI Comprehensive Plan/UDC/Land Use District Map Amendment
U Wireless Telecommunication* 13 Jefferson County Shoreline Master Program,Amendment
0.Forest Practices Ad/Release of Six-Year Moratorium t3 Tree Vegetaion Request
*,M u a Pro Application Conference **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 Mark Doty to act as illy agent in matters relating to this application for permit(s).
r'''*
OWNER SilNATuft£ tf , sate, +
By signing this application form,the owner/agent attests that the information provided herein.and in any attachments,is true and correct to '
best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owrrerfagerit 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,iutigments,court costs,reasonable attorney's tees 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 used later i pections. Staffs access and right of entry writ be assumed unless the applicant informs the County in writing at the
time of the app 7.in h dor notice. �{{ i
Signature r _ v _ Date. t i 1 iZ,
-----------------
The action or actions Applicant wit 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 skies as those terms are defined in the federal taw 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 it w are In • ran the Jefferson County development code.The Agoric:ant acknowledges that he,she or it holds Individual
and non-transfer r spon adhering to and complying with the ESA. The Applicant has read this discfe a[and signs and dates it below.
cArk c,wsems eui Secpn5p\c*ill!,,,-ni Sesca A'T'eseperan'tntrrncr i'iicaVC:1-10$,6\Ma.a+r fro net?pplic nn t2-"19-20(144.dec
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BUILDER,STA7 FMENT
The signer ofthis statement does heieby certify that they are the Owners of the pew:et referenced herein,that they am het,liceitsed cor raj toffs mid that
they will be assuming the responsibility of the General Contractor for:the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MAh4UFACTURE0 HOME INSTALLER: PHONE: FAX:
OWnar/guildc ( ) ( )
MAILtr1c Aao _-
g.SS: Eatat.:
CoNTRAcrQn s t40ENtIc
WAftaS-
NUMaER: ,,:,,
Nuaesaz
ARCHiTEt:TleNGINEER: _PHONE( ) FAx:={ }
MA<LttaG AOORESS: EMI
pro}ectType: Frame C
ype: Bathrooms: Shoreline; pie;of Sewage Disposal:
New Wood Existing: Si_,y,,,.,,.
,T Audition Steel Proposed:' Bank community System
' Alteration/Remodel Concrete Total: ,_-.___- Height: Individual System
Repair Masonry Bedrooms: SEP Permit it
Demolition Other: Water Supply:
Existing Setback: Private well Two Patty
Type of Heat: Proposed: t Public
Total. Name of System:
if this IfkiPotntntrrcfai Protect you must answer the taltowine: #
ii
Number'ofParking Spaces: Current: Proposed: Number of ADA Parking
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes ; No
If i is a Pro e t ,A ti e. tat i
❑Underground Tank In Above ground TankSize of Propane Tank: �. \\/7 i -�
E]Heat Stove ClCook Stove 0 Woodstove 0 Fireplace insert 0 Hot Water Tank ; t `/
is this appliance being installed in a Manufactured]Mobile.Home? Yes t No ! 1
When appiyring fora permit to install a propane tank you must also submit a site pien, wimp allaft of the buildli,3rs,all no
lines,tank iodation and size,distances from the propane teak to all property lines, 9s�Yekp Ys
inckldi the t erve area.
Square Footage {{ Current Pro osed is rt C 1ti, �j
R 1 p. e:cl,, .. .4. EH Bid p Review— R t31� 'O rJ 7
:,
Main MOO'O'Heated E
2'ar(oa>kj d Consistency R�lview. rrrl O1-1,mq Nir DI V 1 O:PMENT r
•
Ottter Heated Base tee; O p_ J�2
1--
Mezzanine Additional Section:
Heated Basement - Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
GaragetCarport SUBTOTAL.
Decks i 911/Rd Approach fee:
Other TOTAL $ l.41 .O(.p
Receipt Number: 1 ,
Detached garage �S�
Caste/Check Number: � h '
EST4ItillATED COST<REQUIRED) Date:
•ffpir-matket value of ail!attar and materials foundation to finish a-t -le .--
'P1rf.. cfsekvAt4 2,4 b 6-9-- Initials:
CADocurnet e stet k rings :srattLot-Ad Settnt3Sa\Temporary tnerrncl t ile itl1.Kti6t.Mnster Prima Application 12 1 -zat t ddc