HomeMy WebLinkAboutBLD2012-00135 BUILDING PERMIT APPLICAN MLA12-00094
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00135 Received Date: 4/26/2012
SITE ADDRESS: 41 MADRONA BEACH DR
PORT TOWNSEND, 98368
OWNER: THOMAS E HAMILTON PHONE:
CARIN E DUGOWSON
8230 SE 59TH ST
MERCER ISLAND WA 98040-4909 BARRETT SHORT PLAT
SUBDIVISION: Block: Lot: 1+
PARCEL NUMBER: 901081017 Section: 8 Township: 29 N Range: 01 W
CONTRACTOR: HILLARD CONSTRUCTION INC PHONE: 425-864-9924
PO BOX 1696
ISSAQUAH WA 98027
Contractor's License HILLAC1999CL Expires 2/9/2014
REPRESENTATIVE: MICHELLE LINDEN PHONE: 253-332-0146
5102 26TH AVE NE
SEATTLE WA 98105
PROJECT DESCRIPTIOI NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,000.00 ADD'L: HEAT TYPE UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: 220 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $251.25 LYK 04/26/12 131681
Plan Check $163.31 LYK 04/26/12 131681
State Building Code $4.50 LYK 04/26/12 131681
Total: $419.06
•
Lisa Yobbagy-Keller
From: Michelle Linden [michelle@atelierdrome.com]
Sent: Thursday, June 14, 2012 8:02 AM
To: Lisa Yobbagy-Keller
Subject: 41 Madrona
Lisa-
The clients want to go ahead and cancel the garage permit and move forward with the attached garage at 41 Madrona.
I believe that Frank has the revised plans and 11x17 site plans as needed. But, can you please tell me if there is anything
else you need from me?
Thanks!
michelle linden, principal
atelier drome architecture, llp
facebook * blog * twitter * yelp
5102 26th avenue northeast
seattle, washington 98105
www.atelierdrome.com
206 395 4392
i
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4.5°�,� zv C�j JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
&+ �' 360/379-4450 • 360/379-4451 Fax
•yy4, o, 0 wow.co.jefferson.wa.us/commdevelopment
Master Permit Application MIA;. )a g
Project Description(include separate sheets as necessary):
rtiC4A) 610..1.4 e.
Tax Parcel Number: qO ( Q Q Q ' - PropertyO
�u, ( Size: ?at72� (acres,squa feet)
Site Address and/or Directions to Property:
1'I 4-alCOVIe- 'e441 p t/i ve Pv✓f. ' -61.,vr,frcsn.(
Property Owners)of Record: " 0/t 1A 5 l t 444 r ( )y
Telephone: 2-442 642.1 '31•00 Fax: email: a tittil 1110K g 4p(.(—c?vt,
Mailing Address: 01.—' O S - c - , /j kv e .-' k( a-G_ Wrei.. TO C- O
ApplIcant/Agent(if different from owner): Ail i e./444( LAyl•Cia2.4..1
' Telephone: 9,4-3 :' 37- Oil& Fax: - email: 4t'Iliana@ st'_c! - vte. 4a)
Mailing Address: 511 D2. 7,6- A &'teat
What kind of Permit?(Check each box that applies
pfrinalding ❑Critical Areas Stewardship Plan
O Demolition Permit 0 Variance(Minor,Major-or Reasonab
❑Single Family Garage Attached! ached 0 Conditional Use jC((a) e0),or CI'°'
0 Manufactured Home 0 Modular 0 Discretionary'D'or Unnamed Use Classification ;.
, O Commercial* 0 Special Use-(Essential Public Facilities)« ,1
O Change of Use 0 Boundary tine Adjustment
O Address O Road Approach 0 Short Plata
, o Home Business 0 Cottage Industry El Binding Site Plan"
Propane Long Plat" I
CI
El Sign 0 Planned Rural Residential bevelepnierift*RoyArnend nts•"
O Allowed'Yes'Use Consistency Analysis 0 Flat VaeationlAtteration" 'MENT
O Stormwater Management o Shoreline Master Program Exemption/Permit Revisions"
O Site Plan Approval Advance Determination(SPAAD)• 0 Shoreline Management Substantial Development a
O Temporary Use 0 Shoreline Management Variance
G Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
O Forest Practices Act/Release of Six-Year Moratorium O Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference 0 Tree Vegetation Request
"Requires a Pre-Apfi1cafiorr Conference
Please identify arty other local,state or federal permits required for this proposal,If known:
herebyI designate �}'4....,
f f'E 1,44,V 7V I as my OF r
to act my agent in matters relating to thi(s,a�7pplication for petmi#(s).
OWNER SIGNATURE ' " to Date: '"[ — U "f 2-
By signing this application form,the ownerfagent that the Information provided herein,and in any attachments,Is true and correct to the beet of
his,her or is knowledge. Any material falsehood r 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.
t further agree to save,indemnify and hold harmless Jefferson County against all tlabNties,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
1 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 end any required later 1 spec:eons. ft's arrs.cs and right of entry will be assumed unless the applicant Informs the County in writing at the
time of the eppl' n that he r e nts or notice.
Signature:
Date: �41'2.A 1 t12_
--
The action or actions pplicant 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 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
actions)even if you are in compkanoe 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•thist disclaimer and signs and dates it below.
Signature: Date:
G:1Pennicanter\###FORMSfr441DRR 1}ORi fS\Mastar Permit App)ia Lien 5.29-08.doe
,0• ..; 2012 68: 21 3E037901 DOD JEFF CO PAGE 02iO3
Api 18 12 i?8:16p Carin Dugowson 20 232-8587 p.6
BUILDER STATEMENT
The signer of this statement doee hereby ly ihaitheyr ace the Owners of the porter retemiced herein,that they ate PO koenred contractor%and that
they will In • re l the 0 1 Contractor far the proposed pro}a t j�
. Silo Owe: Dale: { �Q l Z—
_
GENERAL CONTRACTOR OR MAf'- URED HONE INSTALLER: PHONE: FAX:HrJ
tti 11 s aftbo, lv1G- WO 0•61
11 f- ( )
MALINGACOREs6: pa s (( '? IssgifLAte, W4 EMAK: 1n,1U Guslt z7,6
. t 4.c r„
rCOKIRACroYS UCEN5E WVNS
Nu : u...A-C la q q 4 L.
R _
ARcHrrtcTIENoe/tER: (1 t C.t,, eiret"1"4. 1 4ina+�r5 PHONE ( ) FM( )
MALLING AoafESS: 5- ,-2•,. 7/4, - / ,z:c4f/tc' EMAIL po l'el^s tt� c-«-d pIr.At- C 4.1,
PnoJect Type: r erarne Type: (3attuoorns: Shorallnu: Type of Sewage Dlspoost
% New ' • Wood Existing: O Sewer
Ft Addition ❑ Steel Proposed: Rank C Community System
o Alteretionorternadet LI Concrete Total: --^ Height < ❑ Individual System ,
:_i.Repair G Masonry 67, SEP Permit0 N /4
C lenloltlion n OHrer: $odroortrtr: Water Supply:
Existing: Setback: O Private wen Q Two Party
Type of 1,4 i* Proposed:
b P' £ Public
�7P�t -mat -- Name of System: /V f
Jf jr is a Cemrnerglal Pte./kis:taw uncut actdwar tie folk/ ;
menhir Pairing Spaces: Current Proposed: Number ofi t' H
Nt
Number of opants Cn es chtd aunts,tenants.atrrplaYeas.etc) er Current Prop ( 1
ccu
}BC OCcup*rtt y: 18C Type of ccnstrtictiorr Yt rf 1 you have Food Servicr€? Yee F No I
if th is agagoana Tank arrdlar AntaUautoe Its aUMlan reran marfc®Il llama hetow that e •
I Uncle/pm-id Tank 1 .Above ground Tank Size of Proper*Tank �JJ
I Heat Stove t Cook Stove I Woodsto re i FreplaCe insert 1 Ha Water Tank I Pellet Steve I Other
le U*a f Home? Yes/ No r
'mina 1�taits�in>sr+e�l l -I�r
•
Wb )Applying fora permit to iststoli w propene tank you mina oleo eubm.?a s plan showing i ii orflla� i s r Cgeo.v
linear ter*bcatf a and atoe,distaataes:frvm Os prvpAne tAn k to Ail propev4rllnes,OuRoiings and soptle cagy -
fnclrrdinaMeirosotvoar iy }
`a t' ,�• .., ref t - }T�'r • :,
lzy1, y,c � :mot �,.
Square Footage tpurrent •• u .� '+ 4,• 9 t t ;,' �_ r,x
Main Floor Heated � ?_. . ,,, - •,...: .. ._.., s.. . ..-__ } _...._.,r:...�
}� s x, #•a` 4 Bid App Review:
2 'Floor Heated •:
} �_`,: `:,,i �:;, ;; Consistency RevieMr
LL,r
O et4terttt Heated i=•m',•;'11:• • s� Base f V 9
Mezzanine ,r �°;' `� Add6ona1 Section;
r Healed Basement _ Wiz.- "^`� MINI t'.tsett fee:
Unheated easement r79.;rt•4..{''i:-" Srxxtharga fee:
Other Unheated ed ,k' 141,4.1 Pot vvae r i eirtew fee: it
Garage/Carport R ..,Sr,; —
::;1 .., SUBTOTAL! !Cii p
ip
Decks i'•r":°'- '`:,;- 911IRd App razatt fee: `may �y"�
• z..: 5.�h �4�t I IDS.
Other ,; �r %, TOTAL: $41 (()
:.4==y P411PlaPt0111111tter: 3 1 (02
{ '?, ` Cash/Check Number: ,1
ESTIMA 13 COST(REOEfIRED) — takr: _�,,
.Frermarlrel oohs a`nN Islwr and materiels fore I4 t,fool/lief;
QAPCt»tirCmurVtratFORKtuaaN.Mx>VORACirtlutrr PcantAppriadon 5.34418.doc
HAMILTON BLD12-135
41 MADRONA BEACH DR MLA12-94
Approvals Req'd Prior
to Final Inspection
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