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HomeMy WebLinkAboutBLD2013-00148 • BUILDING PERMIT APPLIAION BLD13-00148 U Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00148 Received Date: 5/15/2013 SITE ADDRESS: 250 VICTORIA LOOP PORT TOWNSEND, 98368 OWNER: BRUCE FREELAND PHONE: 360-379-6992 PO BOX 245 PORT TOWNSEND WA 98368-0245 CAPE GEORGE COLONY DIV 1 SUBDIVISION: Block: 2 Lot: 18 PARCEL NUMBER: 937800218 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr PROPANE TANK, FIREPLACE INSERT, EXISTING INTERIOR PIPE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: 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: Type Amount Paid By: Date: Receipt: Approved/Date Permit $228.00 JLA 05/15/13 142088 APPROVED Total: $228.00 A V G MAY 15 2013 Jefferson County DCE elofolfnrmclF RI fl Ann Rlrl rn+ F/1F/7(114 ON �W 1 3'i4 .• JEFFERSO:N`COUNTY ,, e I , .. , .DEPARTMENT OF COMMUNITY DEVELOPMENT . 621 Sheridan Street Pert Tgvfirsend 'Washington 98,388 .• . 360/3794450. 3.60/37944 •'i Fax e- ww w co:efferson wa•..us/comrridevelomeet • Master Permit Application - MLA; , Project Description:(include separate sheetsas necessary),:: ; • ( gmpett ''370ô2 I Rroperty.Size (agres/aquare feed:. Site Address.and/or Directions to Property:. • M 4 c_-� Property.Ovine s):of Record �n� - t1t 'rr__•Telephone:��". 11?CL:qq-! Fax - email: ..Mailing:Address: • Appllcant/Agerit:(lf different from owner). . •Telephone: 8 - vim? 7 Faux 8.$ 87 :i email' Y - a `". R'-a 'co Mailing,Address: O 8 3 ; 0 4 ,QP PT'. }/,i'J-v cl� �.R, IWhat-kind of Petinlit(.Check oath b©x that applies- - ❑Lot or Road Segregation OBulidiaag - ❑CriticalAreas SteWardship Plat • 01 Demolition Permit . .. 0 Veriande(Minor,Major or FReas'onable•Economic.Use) t Single Pamiiy C3 Garage Attathied l;Oetached •- ,0 ConditipQRal Usf r0(a),:C(d),.or g•''''' 0 Manufactured Home :. p Modular .. q DiscretionaryY"D"Or'Unnamed Classification • 0 Oommerdal* q•s SpRca(rse(Easentiat:Pubiio`Faclltes *t., ' 0 Change of Ue El Boundary Lne:Adjustfr en 0 :Address .• „ Q Road Approach . •.Short Flat** ❑Home Business •: .0 Cottage 9rtdustty 0 Binding Site Pima** (?l'bpane Ll Lontg at*" .• q$!gn 0 Planned Rural Raesidentiiaal,Devetopmer#t(RRRD)1Arnet drnenta** ' L7 Allowed,'NYas"Use Consistency Analysis a Plat Vajtion/Alteration .• Q Stormwater•Management •0 Shorelitie Master•Program.Exemption/Perrnit.Jeyisions** • 0 Sjte Plan Apprgaa#Advance Qeterrrlilla#ibn 1SPAAD)* q Sho'rel{�e Manegerllehit Substantial.Development** - t1 Tetpti i UseF N N o 8horelipeMane'gementVartana e . s - 8ieie'Te'a iltlunrcatiiiri C1 Comptfti risfve Pisan-/.t10C/Land UserDistnct Map Amendment: Q -Forfeitpractices Act/Release of Six-Year moratorium 0 JeffetBerl our fy,Shoreiine Master Program Amendment. ..*:.May require a Pre Application Conference .;: , .0 Tree .. getattcit Request **isec)pfres Pre-Application Conference•Please identify.any csther iiocal'.state otfetteraf per iitsi:iec(uired'fo ails proposal, if kr0461s. . .* t NATION OF AG EN, .:ereby designate•.. • .. , ..• to act as my ager • tinmatters relatingo this application for permit().: • l�WNER SIGTUR � 45 6. 4 -* By signing this app116tion form,the owner/agent attests thatthe infortnetion provii.ed herein,and in any attachments,is true and correct to the,best of ~ - his,her or.its knowledge. my material falsehood or aniyeemtssiori-.of a-material fact m derby ttie,owner/agent with•respect to`thts applicrittsn pa lcet:' may'result in this pednit'being_null and void .; • 1 further agree to save;indemnify and hold harmless JeffersorrCounty.against all llabll(tiesrjudgments,court costs,reasonable attorneyy`s'•fees and' • • expenses which.may in any accrue against Jefferson.County as a result of orin cythsequence'of the granting.of this permit: • . i furtheragree:to provide access=and right.of entry to Jefferson Cotmty;'and.Its empioy$es,representatives or agents for.the sole purpose of application review and any required-later inspections. Stairs•access and right of entry will be assumed unless the.applicant..informs•:the County-lik:wdthrg at.the r . .,time of the.ap ucation that he•or she wants prior notice .••nature: '. - s ale• 4/ The,action or actionsApplicant.will uhdertake as.a result of the Issuance of this psrnlitimaynegatively krapaotsupon one..or.mote.threatened or endangered species end�could,lead to.a.potential;"take".cf an endangered species as:*,ose terms are defined.in.the federal law known as the "Endangered:Specles•Ace'or"ESA,"Jefferson.County make's no assurances to.the appiioant•that the;aactlons.that will¢e undertakenbecausp.this:.. . permit has-been'issued will•not violate the ESA. Any.individual,group or agency can file a lawsuit:on behalf of an-ehdtingei-ed species.regarding:your. .action(s)even if yqu are in compliance with the Jefferson County deveiopment code.The:Applicant.acicnowleedgesihat lie,she•onit.holip lndlvrdttal'- and non-trap -.'rable•responsibilityfor •:arin to.and complyingwith.the:ESA The Applicant-has read this dlscl mer•and.signs and dates itbeiow: . ,-,\Peirnirrinter\#tdiFORM.S###\TMn RfRMClrnrrrnr TWn RA.:n•\7,,(een..P...r:r n....G....r:....4,K1 no A..... ' • • . • . • BUILDER.STATEMENT .. . The signer of this statement does hereby certify that they are the Owners of the parCet referenced herein;that they are not licensed contractors:and that they.will be assuming the responsibility of the General Contractor'forthe proposed project; •Signature: oat ;•y . GENERAL CONTRACTOR e . : w• •• • „ • ft:• PHONE: FAX: ,$..u..►-%, at0 i:n e pc)2 1? P (?6c1 ) 3 S- 1'7 17 ; . • MAILING ADDRESS: 36� .3 a''S S a� ?S r p EtufA. . 'CONTRACTOR'S LICENSE WAINS . BR . S'Tt lt S� ' h NUMBER • :M ARCHITECT%EhlGtlEtR: PHONE (:. ). Fn : ). MAILING ADDRESS: • EMAI . Project Type: Frame Bathrooms: Shoreline: Type of Sewage Dis osal: 0 'New • 0 Wood • .Existing: Sewer[] o Addition Cl. Steel Proposed: Bank 0 Alteration/ieernodei • • 0 Concrete . Total: Height: • • 0 Communtry System•• :o Repair • ❑ Masonry ual�Sys, . p n•yid d Demolition 0 Other., Bedrooms: SEP Permit existing: Setback: • Water-Supply:ate wel • Type'of Heat: Proposed: 0: Private wall 0 Two Parry, . .. Tots o�Public Name of System:- if this-is a Commercial Proiect.uqu must anawertho•followinq: • Number of`Parking Spaces: Current: Proposed Number of9�8 Parking Spaces :Number of occupants.(includes owners,:tenants,employees,etc) Current , •-. Proposed • IBC Occupancy: .`• IBC Type•of construction: Will you have F:atittService?? Yes J`No f th is•__ .;s • . 1e•Ta , •,• 1• a irietallatiott eYmit,_mark all Items:below^that apply: • .f Underground'tank o ove ground Tank Si a of Propane Tank: ))..-4.)..: .: 1.Herat Stove• I Cook Stove "oo.stove plieplaoe.'-insert 1 Hof Water k I. Other • ReNet:Stove I : Is•this aplallance•beinfInstalled:.Iri a Manufactured Mobile Home? Yes No •• IA e,ej pin fora per i it to install a fropano fanifyoru must also submit ai s te•plan showing ell=of the buildings,ell�property lines,tank location,and Size, distances=f.i`om t.e propane tank to all property.liness,buildings and septic system components, includlri`d:ffie..resdive area. : :. Y:tIti 3 z m�b xp i�T ; 5 r � t,.. i h;s d f t� ' �, . `n ,+r <`� y :tq4Y I a tv :r N;��'4k4. 4`.b� rw ti,��t yi's'r l-n t.e,:3 •#C,.4; ;, t:; 3 r r'. [i_ w5i,t '3.Mote FoGta Q Current Pre eSe4ll 4 7c c �T A.,!f )i ', ` i>�. ,'.{' t' x `, ` i,f, t{• as� � : nor f ' �• . r3 � App Review: .. ,. fr v$� plc t f L ,off a MaIn..FrloorHeated : , ���,� �.��� �a.,. � .,t7a,�.�.��,+. l .;t • 2 ` :EH •.. p 2." Floor Heated• . � ,, Consistency Review .• ..Other Heated • '; M, Me2zarilne ii.rz .• Additional Seotlon: rx Iiiiiiiiill111111.111 ,; .'- .� `,' Plan Check fee::. •• Unheated.Basement ' Fes. 'State-Surcharge fee: Ot er.•riheate. f',i lr _ e �*-Pot Water ,evlew fee:• •Garage/Carport. 1;,,��x ,,, •#u��� ,. SUBTOTAL�� Decks . :-. z f zl '_-911/t2d;Approach fee • Other }Y rorAL 1 • • t; • r z F� C • 110001pt wool-1* - , r y y "yrt Cash/Cf eck t umber., ` :, ",,c 1 �y ESTIMATED COST EQUI:" 01....... . .. • •Date . •Falrrmnericet value•of alliaborand materials foundatlon:tofinish; ' • tills:° . G:\PermitCenter\###FORMS###\DRD FORMS\Ciutent DRD Fo vtpster PM.unit, .pprlic t oin 5-24-08.doe • il III SITE VISIT REPORT • (PLOT PLAN) JOB cJ.1� LCA 111 DATE: 4 I2-Zl(3 . CONTACT: ADDRESS PHONE #: . DIRECTIONS FAX #: Email PLANNER: IX V-C.. L . Include all street names adjacent to property,property lines,tank,appliance&piping locations,distances of tank to property lines and buildings,septic,wells;wetland areas,distance to water bodies. i i is /i4 2.O P 2 6 , V, L ars%09 L'v\ ■ W -„, 3 -\------\ 1 cd__________...--"I 1 ,...: I-2—C) 1-4 \. l Ncl I v41-fi7 r' , Si--1 Nuefk L i t/1'tom . \\Sunshinel\E\BUSINESSTORMS\PROJECT PLANNING\SITE VISIT REPORT-PLOT PLAN.doc 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#: BLD13-00148 Received Date 5/15/2013 SITE ADDRESS: 250 VICTORIA LOOP Issue Date 5/15/2013 PORT TOWNSEND, 98368 APPLICANT: BRUCE FREELAND PHONE: 360-379-6992 PO BOX 245 PORT TOWNSEND WA 98368-0245 18 SUBDIVISION: CAPE GEORGE COLONY DIV 1 Block: 2 Lot: PARCEL NUMBER: 937800218 Section: 12 Township: 30N Range: 02W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((336g0� 338g5-5875 Contractor's License SUNSHP*077QP Expires 1'(/17/2013 OWNER, BRUCE FREELAND PHONE: 360-379-6992 if different: PO BOX 245 PORT TOWNSEND WA 98368-0245 PROJECT DESCRIPTION: PROPANE TANK, FIREPLACE INSERT, EXISTING INTERIOR PIPE 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 5/15/2014. REQUIRED INSPECTIONS: lArr Tank/Line/Appliance: 'e^ "" fb Y 1,, F CLi- 5/. / FinalApproval: Oh -P0 r l ca 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 5/15/2013