Loading...
HomeMy WebLinkAboutBLD2012-00294 • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD12-00294 Received Date 9/26/2012 SITE ADDRESS: 41 N PALMER DR Issue Date 10/3/2012 PORT TOWNSEND, 98368 APPLICANT: JUDITH SPECHT PHONE: 360-379-0297 C/O JED/ALLEGRA BOTHELL 933 TAFT ST PORT TOWNSEND WA 98368-5400 5 SUBDIVISION: CRESTHAVEN SUBDIVISION Block: Lot: PARCEL NUMBER: 946100005 Section: 12 Township: 30N Range: 02W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: 360-643-3511 PETE DUFFY PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License BLUEHCC109D8 Expires 8/19/2014 OWNER, JUDITH SPECHT PHONE: 360-379-0297 if different: C/O JED/ALLEGRA BOTHELL 933 TAFT ST PORT TOWNSEND WA 98368-5400 PROJECT DESCRIPTION: DEMO EXISITNG FIRE DAMAGED SFR W/ATT GARAGE 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 10/3/2013. REQUIRED INSPECTION: FinalApproval:J C 1-3i—i3 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 \\tidemark\data\forms\F_BLD_Perm it_Propane.rpt 10/3/2012 JILDING PERMIT APPLICATIONReview BL T 294 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00294 Received Date: 9/26/2012 SITE ADDRESS: 41 N PALMER DR PORT TOWNSEND, 98368 OWNER: JUDITH SPECHT PHONE: 360-379-0297 CIO JED/ALLEGRA BOTHELL 933 TAFT ST PORT TOWNSEND WA 98368-5400 CRESTHAVEN SUBDIVISION SUBDIVISION: Block: Lot: 5 PARCEL NUMBER: 946100005 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: 360-643-3511 PETE DUFFY PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License BLUEHCC109D8 Expires 8/19/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION DEMO EXISITNG FIRE DAMAGED SFR W/ATT GARAGE TYPE OF WORK RES 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: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $74.00 LYK 09/26/12 135235 State Building Code $4.50 LYK 09/26/12 135235 APPROVE Total: $78.50 QL! 3 2Ui2 Jefferson County Planning & Building Department \\firlcm or4\rInfn fnrrnc\C RI fl Ann Rlrl rr,+ op,aionv) • • 4.4ctoN t'I�j\4r� Olympic 2940-B Limited Lane NW on Clean Air Agency I�_f i�o �1 ���. Olympia,WA 98502 •• ' 1 I �' o1 (360) 539-7610••FAX(360)491-6308 • • � Port Angeles office(360)417-1466 D emol�tlon Pe t 1 "y O RCA A ,a Raymond Office(360)942-2137 \•cA��'�d?A=l:Ftffi7H•�sso'�•e?��` www.ORCAA.org • JEFFERSON COUNTY _�� DEPT.OF COMMUNITY DEVELOPMENT [ ] Owner occupied residential dwelling—Permit,fee: $35.00—Prior Notice-Nonrefundable [ ] •Other Structures—Permit fee: $60.00-10 working day wait period-Nonrefundable • PROPERTY OWNER Name: yy `` j Phone: (360 3j7q-O2 Email:`.uc�ii-�sp.eeL4Q Jud - L e✓c_U r FAX: ( ) Mebil`o:: ( )0t y u5,i1e.-f- Mailing Address: i . 12•y0 G11 �S'rvnswa *• I I R por'I•' 1 owiu snot w 4 83 6$ Site Address: c� 1 U City: ; � n State:A Zip: 1 c+ 1rv•ev- l�r, \t5r - 5w � 9 S 3 g DEMOLITION CONTRACTOR[ ] Check if same as property owner information Business Name: Phone: (36038'�- (335— Email: )t U,t tt `C)'A C-E>A• ki'u C�'�-i 0 V\., FAX: ( ) rcl J� >\ 3 Qcae1,cchvva Onsrt Conta t: Phone: (36o)3g6 395 ' Mobile: (3(,c)6,4/3_3�r1 An v,.d ��(le. FAX: ( ) _ MailingAddres Cif., State: Zip: 1 b. �ex 71 -rov-- 1ck.:tiAs-e IA)A 98316$ • DEMOLITION INFORMATION �� ,.L...r� M ,ij #of Structures being demolished: Start Date: (Z, �rf Completion Date: ©Vt-e_ ©c.\oktev-.....•e�' .0) 2- no Ye 164r- [b, en/2 Asbestos present Yes Y....No Survey attached )(Yes _No Has all identified asbestos been removed x' Yes No DEMOLITION PROJECT CATEGORY [Complete Demolition [ ]Training Fire-Fire Agency: [ ] Renovation,Alteration,Remodeling,Maintenance,or other Construction [ ] Emergency-Additional Fee of$50.00(must be accompanied by Government Ordered Declaration-Commercial only) Ihave read and will abide by the conditions set forth in this permit and any addendum thereto. I do hereby certify that all identified asbestos has been removed and the information in this application and supplemental data described herein is,to the best of my knowledge,accurate and complete. Ct.kA-Ct , ZfI`!✓W c 1�� e- Oci/2° /l2- Applicant Ame Signatur Date Da.,p c n'• tot) Payment Info. >4 Approved Asbestos Permit [ ] Cash l ] Disapproved Permit# ASBOO OCT p 2092 (�[- `"i eck: # /°l q Demolition Permit [-] Credit Card Review date: / /r� Permit# / .DEMOO )CP ; Receive date:f O / r /lam Reviewed by: !1/✓f,L Agrltc 7 Agency Use Ony Agency Use On& Agency Use Only 08/11/11 :,I,,.:,,,./,:, OVER . • C06 JEFFERSO OUNTYIII 'v N. DEPARTMENT F COMMUNITY DEVELOPMENT `' 621 Sheridan Street • Port Townsend • Washington 98368 �`'- 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment ArIN Master Permit Application MLA: N° (Y)LA DEMOLITION(OF EXISTING HOUSE ssarvt: Tax Parcel 946100005 Property 2.040 / 89000SF Number. Size: (acres/square feet) Site Address and/or Directions to Property: - : N PALMER DR. CA PP w ;?r-iE ROAD O COLONY ENTRANCE. RIGHT ON N PALMER DR 41 IS ON THE LEFT. Property Owner(s)of Record: JUDTI H 5F'ECH I Telephone:360.379.0297 Fax: email: juaitnspecftt@olympu Mailing Address: 41 N. PALMER DR. Port Townsend, Wa Applicant/Agent(if different from owner): Telephone: Fax email: Mailing Address: What kind of Permit?(Check each box that applies UBuilding 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d), or CI** Single Family Cl Garage Attached/Detached 0 Discretionary"D"or Unna i€leat. ❑ Manufactured Home 0 Modular ❑Special Use(Es i Efli l{ ilWie I, ❑ Commercial* ❑Boundary Line Ad l!� 11 ❑ Change of Use ❑Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plen'-14` i' ❑ Home Business 0 Cottagelndustry 0 Long Plat** II i i- 2012 ❑ Propane 0 Planned Rural Residentialvelopment(PRRD dments*" ❑Sign 0 Plat Vacation/Alteration** -�-- ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Pro p/jynit Revision ** ❑Stormwater Management 0 Shoreline Manageme an I lot"" ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Mangy ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—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 f 6 li/ to act as my agent in matters relatingg to this application for permit(s). OWNER SIGNATURE Z.t. t1 4 _ Date: /—Z�' / .---- By signing this applicatifz— orm,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's 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 liabildies,judgments,court costs,reasonable attomey'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 appli tion that he or she wants nor notice. p Signature: __-c 6+,r :C.-/ -_ i-.2!___c--f{ Date: 9-2-5-7 z--- The action or ons Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered des 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 JeffersonCounty development code.The Applicant acknowledges that he,she or it holds individual and non-transfera le responsibility for adheE'eri to -nd complyin9�with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: A.G�[- G) „a'81J'"""`-s- Date: '7- Z `--' t__ C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • 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: BLUE HERON CONSTRUCTION ( )643.3511 ( ) MAILING ADDRESS: Randy Welle<ranwel3@aol.com> EMAIL: Randy Welle<ranwel3@aol.com> CONTRACTOR'S LICENSE WAINS NUMBER: BLUEHCC109D8 NUMBER ARCHITECT/ENGINEER: RICK ERICKSON DESIGN LLC PHONE ( ) 643.1617 FAX:( ) MAILING ADDRESS: 3422 COPPER ST. EMAIL ERICKSON@MAC.COM Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: 2.5 Bank 0 Community System fie Atteration/Remodel ❑ Concrete Total: 2.5 Height s Individual System ❑ Repair ❑ Masonry SEP Permit# • Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party • pp Proposed: 2 8 Public L C Total 2- Name of System: If this is a Commercial Proiect 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: V1 llel hg pet ` If this is a Propane Tank and/or Appliance Installation permit,mark all items k UJ 1 ['Underground Tank ❑Above ground Tank Size of Propane Tan i [Neat Stove ❑Cook Stove 0 Woodstove 0 Fireplace Insert ❑Hot Water Tank! let tiL2ye 9pther l Is this appliance being installed in a Manufactured/Mobile Home? Yes I No ` 1 I 1 !; When applying for a permit to install a propane tank you must also submit a site plan showing all of the builditj,tall property lines,tank location and size,distances from the propane tank to all property lines,Ithlldin components, including the reserve area. _ _ ` _ ?AN 9,5 lkY`-tl€ G rWel,,,_ '_ _ Square Footage Current Proposed For Ofe5lk . . ..l . �. .. .. A _ Main Floor Heated 1 F_ ` EH Bid App Review. 2' Floor Heated Consistency Review. Other Heated Base fee: r7 , Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 5D Other Unheated __•,.,.,; Pot Water Review fee: Garage/Carport ,I SUBTOTAL Decks ` 911/Rd Approach fee: Other �. Y TOTAL: $ f, S 9 ;::_...,::-- Receipt Number: 135 2318 -=�`"��Y= ::`. 4 > > x Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: Aillillilk— — C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 1 3 220,-0„ PI-iGQM VUV t-I rD`0^0 T a 7.1 rD O " V fD O m D N T D m -, I� m D i N N co J N w -1 0 ^o o, `O O. CO o to v, v, v, to to 0' T T T m T T � _ -*legjodoh zi .-- - - - rt 1 • , 1 m 1 \- m Oc �peqpas 6u1p11nfl ------ • F loco f "� N. PALMER So "" � _ m "9 ,L9 23185E j rt p existing 36'x 68'fire damaged building m O10 •�'�� N 1 N s/A, -rpant rn . O � „0-,SZ , 111, ? T iiiiii 11 1 I �• * O I + Q i7- H o- , h _Q . IQ yH 80 0 VI -O I rr • o f v dm \ sI o o, 1 z • Y ors o < 3 �09 mX y ,Q_ 1 . s o 0 f oa 1 x a �� - o B SCo — V �, —Jx n0f y. — \ E 5 n ,� a m_ _existing ADU . - —�I • r -f- _D \ i t . es7.-- .. (-6-})-- ' Nr‘ y / 7 -tom- w aU,' CO 2 Srt x ---8 0 k O K • X d� 1rD Q ✓� . . w I =t' w w w rt 7 i m Cu ___,) k ....6 °� 0 o " m ID TI x. 3 D, ,-t, A.t. ID ID 1 5. n d N ID rtD S d - n a O C rt O Uro rt -.Ci n L 0 e, _ rn Li)— O O m n -10 z O \ / 6;,,,z( D - ) __J . • 220 -O • 1 _ J rrD r CD • o 7, m N N . 1 �z t,►2- �rz + 0 -D N 0o mwM c = � 0 N o.o-• 0 — Z fill • p Sul 1 Cn CO m -I o 0 5 �., N O •P m 2 < z 3 m Juc t Spech esidence Rick Erickson Design LLC i 41 N I € 3422 Copper St. 3 m Port , Wa Port Townsend, Wa m 946100005 360.643.1617 o m ,