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Home My WebLink AboutBLD2014-00093 •UILDING PERMIT APPLICAIN B 0093 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00093 Received Date: 3/18/2014 SITE ADDRESS: 92 DUNSMUIR RD PORT LUDLOW, 98365 OWNER: JAMES L TWEEDY PHONE: 360-301-6189 DENICE CRAIG TWEEDY 92 DUNSMUIR RD PORT LUDLOW WA 983659763 SOUTH BAY#3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 995700003 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: • REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADDING BATHROOM TO PRE-EXISTING SPACE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 5,000.00 ADM.: 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: 1 Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Plan Check $66.30 JLA 03/13/14 148456 APPROVED State Building Code $4.50 JLA 03/13/14 148456 Permit $102.00 JLA 03/13/14 148456 Total: $172.80 Jefferson County DCE NfirlcmorL\rlato\fnrmc\G RI fl Ann Rid rnf QHR/9fNA , — _SON c 6kA) 1,--1— 's JEFFERSIOUNTY • W4ert �j DEPARTMENT OF COP/IMUNITY_DEVELOPMENT a "' '4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax J I B�t 0 www.co.jefferson.wa.us/commdevelopment N� I MAR 1 4 2014 Master Permit Application ML : Pr ject Description(include separate sheets as necessary): FE JEFFERSON COUNTY C�; c 61-4 . balls room to p etyC i5 ^1,'i Spa C6, 1,____DEPT.OF COMMUNITY DEVELOPMENT Tax. Parcel Number: 9"t s70 0 CO 3 Property Size: (acres/square feet) Site Address and/or Directions to Property: r 1 - 1)i vtsmuir Rot Port LvdIow UVR r C-- SS S+- fit hIQ.tut c-, Property Owners)of Record: r,s. ,,, 1- 1111' A y, C i Telephone: 3‘,O "3 O I (o 12 9 Fax: email: Mailing Address: 12- DV vi.S my i r PA Poet t,v 4 pt :o , Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached ❑ 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 ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach_ ❑ Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** El Propane ❑Long Plat** ❑Sign ❑ 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** CI 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: 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 I 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 employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and righ of entry will be assumed unless the applicant informs the County in writing at the time of the applica' that he or she w s notice. ignatur /Ji,---e- ..e' Date: 8 ' i — ) t'"/ 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 development code.The Applicant acknowledges that he,she or it holds individual and non-transferabii responsibility for a.•-ring nd complyin/ith the ESA. The Applicant has read this disclaimer and signs and dates it below. XSignature:1' / 1_ A / - /` Date: ' ' 1 — 17- 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 assumi•2 the responsibili .f the -neral Contract for the proposed project. ‹ignatur-. _A '‘-LC '�-��i/AA--, _ Date: S — I S — I GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 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: i New ❑ Wood Existing: o Sewer I ❑ Addition ❑ Steel Proposed: Bank 0 Community System G Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System 0 Repair ❑ Masonry — SEP Permit# _ E Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public 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 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank i Pellet Stove 1 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. 1 Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: 2n°Floor Heated Consistency Review: `'� — Other Heated Base fee: r ______ / 2 c�,Mezzanine Additional Section: UI �' Heated Basement Plan Check fee: /-,- , Unheated Basement State Surcharge fee: \ _______ :/. c Other Unheated Pot Water Review fee Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: -Other TOTAL: $ / q/ 80 Receipt Number: 1 ig II c y! __ - _ Cash/Check Number: 4 '1 zs.----- 4 ' STIMATED COST(REQUIRED) , Date: •..•-_. - • - -•• --: - --la s foundation to finish V5/ D Q C) Initials: l 3/ ,. G:\PermitCenter\###FORMS###\DRD FORMS\Current DID Forms\Master Permit Application 5-29-08.doc Screen: 02 REAL PROPERTY MASTER Mode : INQUIRY Auto Roll : OFF Parcel # 000995700003 Ald Cd 3355 SOUTH BAY 1, Alt 3 ; Legal Description SOUTH BAY #3 LOT 3 COMPLETE ADDRESS WINDOW Taxpayer TWEE3500 JAMES L TWEEDY DENICE CRAIG TWEEDY 92 DUNSMUIR RD PORT LUDLOW WA 98365-9763 Search Key CMD 6: End Window CMD 7: End of Job ii8/9 9-.Z I. z -, I 1 il JEFFERSON I 1.1tki1Y DCD BUILDING P REVIEW 0 APPROVED Ai I.UaNiITTED k 1 ZO 1 ' 1 I rIC APPROVED AS NOTED , 1 c? 1 0 il II REJECTED 11 :4- I Date It Rey'iewWr 6T- 1, , 1 , 1 J 1 1 , -- - 1 \ 1 I \ 1 1 \ 1 I 1 1 _, ---1 i / r________ 2) 1 2 U) I kl 9 0 eljvA- , 1 / .. , , 1 1 1 co ..6 , a) 1 , — F i l), I E [1V - ----Th 1 I MAR 142014 4 2014 _ .1 1' W .__ __-1 , . . 1 , , L L --12:jj JUIERSON COUN ry DEPT OF COMMUNITY DEVELOPMENT , u8/9 L-101. • • ,fe°N `be, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ate: Time Received: .._4 Ldl'pm Mon. Tue. We . Thur. Fri. Date: gib fil LD: 14 - 00093 Contact Name: DElus6Z -12deesr ►caner: /A Eg127- Contact Number: 360 gad- bJ 9 ,ddress: 44 pesos LLt CZ gel 206 Jotes: ,VAII-i ecoaM 6e/NIX /tA.s ANzP, I oteceED 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 { JEFFERSON COUNTY , DEPARTMENT CrCOMMUNITY DEVELOPME, Date: 5 ) tLTime Received: c9,a 3 am-AP-9 Mon. Tue. Wed. Thur. Fri. Date: BLD: Contact Name: Owner: I c Contact Number: 360 9( (,/Esd Address: ?2, D0A-daltom( 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 • , < II • iP it{ : } - • • • Date 5 -7 time received 0;}` � am (c� Mon. Tues'. Wed: Thur. 0 !' BED: '_ 93 Date: . OWNER: Contact Name: • ADDRESS: 92 - DtAk7s4/111e. Contact Number 300 2 Notes: �0�Y9 06 i Foundation Plumbing Framing Propane Tank Mechanical • Setbacks Under-ground Framing Footing , Rough in Underground _ Furnace Airsea! Above ground Stemwall _ Hydronic Exterior shear g and • O Straps Exterior lines Oil Interior shear Interior lines • Post Hole Ventilation — Ducts •_ Underfloor Appliance _ Man-Homes Gas/wood stove Setbacks Insulation latton. Foundation— Final Inspection Block&Tie floor _wall ceiling _'� Address Posted BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00093 Received Date: 3/18/2014 SITE ADDRESS: 92 DUNSMUIR RD Issue Date 3/18/2014 PORT LUDLOW, 98365 Expiration Date 3/18/2015 OWNER: JAMES L TWEEDY PHONE: 360-301-6189 DENICE CRAIG TWEEDY 92 DUNSMUIR RD PORT LUDLOW WA 983659763 SOUTH BAY#3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 995700003 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ADDING BATHROOM TO PRE-EXISTING SPACE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT • MAIN: VALUATION 5,000.00 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: Plan Check $66.30 JLA 03/13/14 148456 Exist: Exist: State Building Code $4.50 JLA 03/13/14 148456 Prop: Prop: 1 Permit $102.00 JLA 03/13/14 148456 Total: Total: Total: $172.80 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 • • 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 day's 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 fr5dL. 51/3f/1/41 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 g) FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • S CONDITIONS for Building Permit# : \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 3/18/2014