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Home My WebLink AboutBLD2013-00224 - MECHANICAL •BUILDING PERMIT APPLICIPION BRLD13-0022224 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00224 Received Date: 7/23/2013 SITE ADDRESS: 171 EGG & I RIDGE RD CHIMACUM, 98325 OWNER: KEN B BARNETT PHONE: 360-531-0058 PO BOX 366 CHIMACUM WA 98325-0366 BISHOP SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 901353008 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI REPLACE EXISTING 250 GALLON TANK TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $76.00 JLA 07/23/13 142299 APPROVED Total: $76.00 G JUL 2 3 2013 Jefferson County DCD \\firIcmorlArInfn\forme\G R1 Il An Mel rn4 7/9'2/9!114 N GLAD) 3-2,2 4 00 JEFFERSOCOUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT KI 621 Sheridan Street• Port Townsend •Washington 98368 �� 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment C# Master Permit Application MLA: Project Description(include separate sheets as necessary): ) ) >= c,-cQ R;c9`sc Roccr Tax Parcel Number: Cl 0 SO/2' Property Size: n 2.S acre, (acres/square feet) Site Address and/or Directions to Property: � i [ a�42 : _ Roc c,C ,- c u fr I W/4 933;?5 Property Owner(s)of Record: �� 0 rr i Telephone: (-2,6„(,))C-.2,) — i7 S Fax: email: �, . � (, cow Mailing Address: - Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: f _, , • What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan O Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C] ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification O Commercial* ❑Special Use(Essential Public Facilities)** O Change of Use O Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry D Binding Site Plan** jR,Propane O Long Plat** ❑Sign O Planned Rural Residential Development(PRRD)/Amendments*" D Allowed"Yes"Use Consistency Analysis O Plat Vacation/Alteration""' O Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** O Temporary Use ❑Shoreline Management Variance O 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 Pm—Application Conference ❑Tree Vegetation Request **Requires a Pm-Application Conference Please identify any other local,state or federal permits required for this proposal,if 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 -ccess and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and an -: r inspectlo ``s access and right of entry will be assumed unless the applicant informs the County in writing at the time of the :•plicati. s .rior notice. Signature: i7 /� i Date: ,„,..■ / /r J The action or actions Applicant will undertake as a result of the Issuance of this permit may negatively• p=• •po- one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are•- n • 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 no iolate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even,if •u a : ' • plia with • on County development code.The Applicant acknowled•_<that he,she or it holds individual and non-tran-.`w•.' = •/nsib"�r a• •�• and complying with the ESA. The Applicant has read this d aim// and si•ns and dates it below. Signature: a�� / Date: , 20 3 G:\PemvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this statement does hereby cell' at t y are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the r si I' oft I Contractor for the proposed . Signature: !` 4 Date: C� 20/3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: 7 ONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank : Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well U Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: 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 Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit mark all items below that apply: R cc leae0,C 3 ex,i `^ I Underground Tank (Above ground Tan.) Size of Propane Tank: /2i 9q./ V 2 SD q° �h i Heat Stove 1 Cook Stove i Woodstove T Fireplace Insert i Hot Water Tank I Pellet Stls v'e t Other (J Is this appliance being]installed in a Manufactured/Mobile Home? Yes / a 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. 1 �rum � mi, `ii"7 *it- do= Square Footage Current Proposed Main Floor Heated EH BId App Review: 2"0 Floor Heated ,: Consistency Review: Other Heated Base fee: Mezzanine i � ' Additional Section: Heated Basement '6 ' ; Plan Check fee: tiaz Unheated Basement State Surcharge fee: Other Unheated " ,,. Pot Water Review fee: Garage/Carport ; e- -a SUBTOTAL Decks _= r Y� = E' 911/Rd Approach fee: Other - ' "e' TOTAL: $ a p" ' Receipt Number: 4 3Cash/Check Number: - f ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: ' G:\PemvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc �� M{er� Ca, e r I r u;rt 1 0 • MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00224 Received Date 7/23/2013 SITE ADDRESS: 171 EGG & I RIDGE RD Issue Date 7/23/2013 CHIMACUM, 98325 APPLICANT: KEN B BARNETT PHONE: 360-531-0058 PO BOX 366 CHIMACUM WA 98325-0366 • SUBDIVISION: BISHOP SHORT PLAT Block: Lot: PARCEL NUMBER: 901353008 Section: 35 Township: 29N Range: 01W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, KEN B BARNETT PHONE: 360-531-0058 if different: PO BOX 366 CHIMACUM WA 98325-0366 PROJECT DESCRIPTION: REPLACE EXISTING 250 GALLON TANK 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 7/23/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinaIA PP roval: Co- I ?-14 U BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 7/23/2013 • , 0 , i /I\ I 1 i 0., e. _g 9 0 s' ) ,:71 OM., -9-92 ..14.. 1J00(1 N_L vl a ss .v, i ■ 1 , I , 1 . i . . , \ I \ EI--- ---- -----. ■---, ,--- -- ---' -- -L - - - - — — ---) A ....L.C17-- ,SL ..L.Q oc tv't k c. HvH-L- 1\m,41--- .2296,1 .2,44z-1 :eV Ov/ 2 P S-.1 -1.0if.)- ,1,,L,11 ,do0A JS •)ro 1 , I , , , '<- - - 1°)/ ' ->I1 1 , Al.)011.14a? A0,4 06 fi 1 i ,5'4 1/4itt1 1 . 1 4_,DI looed . PivON ' I 1 . 1 , 1 , ! , , ' Ave'?Dila-ve 1 f 1 ! NI WO (..1 4 1 , 0 to C> ,,). olv.v -f)-9 1 1 I 1 ' Wkllj ooGa JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Avv) �(/)((��n j (r^_��Q NSf/IN•SOS /(., J / / Y Date: Ca ) tv Time Received: am/pm Mon. Tue. Wed. Thur. Fri. Date: C/J%//hJ BLD: /3- 2-0-/ Contact Name: 14.a-,-N Owner: ) l a,e„/re-c}- Contact Number: 360 5 f cX se Address: I 1) 6-'7 4- ,-.7- 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection__ Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues,at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us,assume we will arrive on your requested inspection day. You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection,a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed,and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. Commercial projects require 24 hour notice for inspection.