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HomeMy WebLinkAboutBLD2014-00051 •UILDING PERMIT APPLICN BLD14-00051 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00051 Received Date: 2/11/2014 SITE ADDRESS: 451 SUNSET BLVD PORT TOWNSEND, 98368 OWNER: MARTA FAVATI PHONE: 1-563-940-1457 451 SUNSET BLVD PORT TOWNSEND WA 98368-8911 CAPE GEORGE COLONY DIV 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 938100442 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: GROVES &CO INC PHONE: (360)385-6282 PO BOX 120 PORT HADLOCK WA 98339 Contractor's License GROVECII20J8 Expires 4/24/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Window Replacement TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 9,000.00 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: 1 •r• D a Permit $146.00 MEB 02/11/14 145753 Ar Plan Check $94.90 MEB 02/11/14 145753 State Building Code $4.50 MEB 02/11/14 145753 Total: $245.40 Jefferson, County DCL \\+irlcm.r1Arh+o\+nrme\F RI Il Ann PIA rn+ 9/11/9lNA 4��'SON 0 06. JEFFERS OUNTY • W - �� A DEPARTMENT OF COMMUNIYY DEVELOPMENT _ "' 'N ''4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ,--7----o www.co.jefferson.wa.us/commdevelopment 'Lb' I t. T) lirnidC Master Permit Application MLA: Project Description(include separ to sheets as necessary): 41 f ) 4 y Ge444/.rn, Tax Parcel Number: 3 g' /9 4-4-2.. V Property Size: . 3 S RG✓L' (acres/square feet) Site Address and/or Directions to Property: 4 s j cl4l. LLf*All/d Property Owner(s)of Record: Telephone: I' S 3 " D Fax: P email: Mailing Address: 't S I Svit.La ,U iV d 1 Ic,/ Applicant/Agent(if different from owner): C✓tS'1-4 ,. Telephone: l" " 3[ 57,7 >:Z Fax: D r3t5Z2 ff¢ email: S�('•��S G�+-� Mailing Address:a0 i p,—J4 4�vt� To__kt What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation ,wilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) 47Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** ❑ Manufactured Horne .❑ Modular - - ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑Long Plat** ❑ 3iyn • ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑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 ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: k DESIGNATION OF AGENT I hereby designate / ,,, { i/,, to act as my agent in matters relating to this application for permit(s). (c OWNER SIGNATURE ' " /cc. ' Date: Z 1/ — / I/ 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 access and right of entry to Jefferson County and its a ployees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry ill a assumed unless the applicant informs the County in writing at the time of the application that he or •- is prior notice. Signature: 41 IA.. ,J Date: 2--1/ —/iii The action or actions Applicant 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 de e ment code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adheri g to and com ing wit the SA. The Applicant has read this disclaimer and signs and dates it below. `C Signature: � l.,.o—�,_ Date: Z–// /47- G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.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 assn • g the res n ibility of the Gener ontrac•, ?r the proposed project. �( Signature: //n�` e'-` Date: 2 /I ti/ ( J GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHCNE: FAX: 0o vet.+ do 0?) 3isNI1 ar/- ( ) 31r�'62�4 MAILING ADDRESS: PO yo-5Z- 1 lo EMAIL: vvva„`s e—4 Ps d•- -- CONTRACTORS LICENSE WAIN NUMBER: 640(1661 rZo, 8 NUMBER ARCHITECT/ENGINEER: PHONE ( , ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: li New OW, ❑ Wood Existing: G Sewer C Addition y N4WWS ❑ Steel Proposed: Bank ❑ Community System „i/Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System ❑ Repair ❑ Masonry — SEP Permit# _ O Demolition � �Q�� ❑ Other: Bedrooms: Water Supply: 1./L l A4 Existing: _ Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public 0 a Total: Name of System: • If this is a Commercial Project 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 13C 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: I Underground Tank i Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert i Hot Water Tank I Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No 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. Square Footage Current Proposed for Office Use-Only Amount Revision Main Floor Heated EH Bld App Review: 2nd Floor Heated" Consistency Review: Other Heated Base fee: / G`r r I�Q� Mezzanine Additional Section: t `UJ Heated Basement Plan Check fee: q"1 6/3- Unheated Basement State Surcharge fee: �(/ _. --__ -- Other Unheated Pot Water Review fee: vJ -- Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: —Other . TOTAL: $ 2..._l0 Ct (U , Receipt Number: 14 171 Cash/Check Number: i( Ci + ESTIMATED COST(REQUIRED) Date: -2-(i( //3 •Fair market value of all labor and materials foundation to finish `�� -' — 1900 �- YY . ' Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc a -I x fi m co —I fi x —I —I m co -- -- CO "0 cn CO x O_ n r+ x CO 0 -7 10 01 0 - 17 -5 -s 0 0> C O_ CD 01 0 (D D. 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HARTUNG GLASS INDUSTRIES 17830 WEST VALLEY HIGHWAY•SEATTLE, WASHINGTON 98188 Seattle: (425) 656-2626 • (800) 552-2227 • FAX (425) 656-2601 Portland: (503)454-5290 • (800) 788-1030 • FAX (503) 454-5291 Website: http:/./www.hartung-glass.com E-mail: custsery @hartung-glass.com GeOlie, ep f=714-i//4- T I JEFFERSON COUNTY [TCD BUILDING PLAN REVIEW ' APPROVED AS SUBMITTED ' 1 R. APPROVED AS NOTED va I NI ,.° SIN 17 REJECTED o N s A; Date l ia1 ReviewerCl Flo M +LL�rabY-av wee.— W. ue. 9 y, y. hr TEMPERED-INSULATED-PLASTICSAIIRRnP-FI 4 T lA R D Ir,vrr",n . . . HARTUNC GLASS INDUSTRIES 17830 WEST VALLEY HIGHWAY•SEATTLE, WASHINGTON 98188 Seattle: (425) 656-2626 • (800) 552-2227 • FAX (425) 656-2601 Portland: (503) 454-5290 • (800) 788-1030 • FAX (503) 454-5291 Website: http://www.hartung-glass.com E-mail: custsery ghartung-glass.corn /J ('20 icy, 4 6 F,totr, _____ FT .Th , ____.. . . , 4 1.‘ S _X- z � - 4-- 1 N IP <T1> rii 0 0 m ::. - 5- '72. ,. r° o 1 1 o v' 1. c off, d o r n � N N N N -------÷,---n„ . r Tr d qt... t.... t_. ‘54 M 1.-- TEMPERED-INSULATED-PLASTICS-MIRROR-FLAT-FABRICATION HARTUNC GLASS INDUSTRIES 17830 WEST VALLEY HIGHWAY•SEATTLE, WASHINGTON 98188 Seattle: (425) 656-2626 • (800) 552-2227 • FAX (425) 656-2601 Portland: (503) 454-5290 • (800) 788-1030 • FAX (503) 454-5291 Website: http:Uwww.hartung-glass.com E-mail: custsery @hartung-glass.com 64)le> t,4v/}- 7� • --r w TI 11 in 1 11j l I - ,P - a` m I 1- TEMPERED-INSULATED-PLASTICS-mtRRnmpr A 1'A D D 4T7i1n, GROVES & CO INC Page 1 of 2 0 Washington State Department of Labor & Industries GROVES & CO INC Owner or tradesperson PO BOX 120 GROVES,JAMES JOSEPH PORT HADLOCK, WA 98339 360-385-6282 Principals JEFFERSON County GROVES, JAMES JOSEPH GROVES,SUSAN L(End: 05/07/2013) Doing business as GROVES&CO INC WA UBI No. Business type 601 030 028 Corporation Governing persons JAMES J GROVES License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. GROVECI120J8 Effective—expiration 04/28/1988—05/23/2015 Bond CBIC $12,000.00 Bond account no. SA2029 Received by L&I Effective date 01/30/2002 04/24/2002 Insurance Mid-Century Ins Co $2,000,000.00 Policy no. 605093901 Received by L&I Effective date 04/26/2013 04/24/2013 Expiration date 04/24/2014 Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601030028&LIC=GROVECI120J8&SAW= 2/11/2014 GROVES & CO INC Page 2 of 2 Lawsuits against the bond or savings No lawsuits against the bond or savings during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 442,963-01 Doing business as GROVES&CO INC Estimated workers reported Quarter 4 of Year 2013"7 to 10 Workers" L&I account representative T1 /BREANN OLSEN (360)902-4802-Email: OLSA235©Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection date 03/04/2010 No violations Inspection no. 314102971 Location 11084 Rhody Dr Port Hadlock,WA 98339 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access Washington , 4a..:Ah1 51n?t(.aernwirt br`eh 5rtr https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601030028&LIC=GROVECI120J8&SAW= 2/11/2014 • Jefferson County Building Division Permit Number: Applicant: BUILDING PERMIT INSPECTION APPROVALS Applicable Code: International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next days 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 A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION (e�(q l� FINAL I PECTION MU T BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# : I�I \\firlamark\rlata\forms\F RI fl Permit Ruth rot 2/13/7(114 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00051 Received Date: 2/11/2014 SITE ADDRESS: 451 SUNSET BLVD Issue Date 2/13/2014 PORT TOWNSEND, 98368 Expiration Date 2/13/2015 OWNER: MARTA FAVATI PHONE: 1-563-940-1457 451 SUNSET BLVD PORT TOWNSEND WA 98368-8911 CAPE GEORGE COLONY DIV 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 938100442 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: GROVES & CO INC PHONE: (360)385-6282 PO BOX 120 PORT HADLOCK WA 98339 Contractor's License GROVECI120J8 Expires 4/24/2014 PROJECT DESCRIPTION: Window Replacement TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 9,000.00 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $146.00 MEB 02/11/14 145753 Exist: Exist: Plan Check $94.90 MEB 02/11/14 145753 Prop: Prop: State Building Code $4.50 MEB 02/11/14 145753 Total: Total: Total: $245.40 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY l45"T wo JEFFERSON COUNTY �. ` DEPARTMENT OF COMMUNITY DEVELOPMENT 9`;i N l Date: 64+1 Time Received: 9:10 �pm Mon. Tue. Wed. Fri. Date: C4— BLD: r-4 - 5 I Contact Name: Owner: Maxik., Fay. Contact Number: 360 US■ (Qarcl. Address: ,4 1 .Sv`,i s,a_'- 206 Notes: VV c C\(A,ou0 -P.-Ve i 6-e_QAy\QA1— 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 MEV • 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.