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Home My WebLink AboutBLD2014-00163 • BUILDING PERMIT APPLISION BLD14-00163 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00163 Received Date: 5/6/2014 SITE ADDRESS: 1611 W HASTINGS AVE PORT TOWNSEND, 98368 OWNER: GREGORY W BARRY PHONE: 360 642 HARRISON ST PORT TOWNSEND WA 98368-6518 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001043037 Section: 4 Township: 30 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP DEMO OF 3 OUTBUILDINGS TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION 3,500.00 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: Approved/Date Permit $76.00 MEB 05/06/14 148600 APPROVED Total: $76.00 MAY 0 6 2014 Jefferson County DCD \\firlcmorNrlofo\forma\G RI fl inn Rid rnf F IR/Of lA 1 � °x 6 ,�4� O JEFFERSJ COUNTY w . \*_ r DEPARTMENT OF COMMUNITY DEVELOPMENT I" P4 621 Sheridan Street • Port Townsend •Washington 98368 v( � ((J 360/379-4450 • 360/379-4451 Fax 1,411,e www.co.jefferson.wa.us/commdevelopment t Master Permit Application MLA: Project Description(include separate sheets as necessary): 1 s oLtTion) oc ow11"s" ,,mLl>JAt(�-'S _ Tax.Parcel Number: 00(0-i o1` Property Size: (acres/square feet) Site Address and/or Directions to Property: to I 1 14-O T /V I.r5 Property Owner(s)of Record: -q Telephone: Fax: email: Mailing Address: Applicant/Agent(if different from owner): (JODD 1-,OlV't:Es C-OA/'tRt)C71J O1lf —4Mzc1) Mt- 6 eo-v- T o 3b0- 51-767-1- Fax: email: esnilrtomes c)1el rv►o..•1.Com Mailing Address: 11401 CLE-trei-Atli '5T 1?-0A2--T -io 5 yX tisk 019%%4,0 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 Cj** ❑ Manufactured Horne .❑ Modular ❑ Discretionary'"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** 0 Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach_ ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** ❑ Sign ❑ Plannea Rural Residential Development(PRRD)/Amendments** • ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Aovance 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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: ' 1 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 employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or sh-- =nts prior notice. Signature: Date: I /Z The action or actions Applicant will undertak= -s a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a •tential"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-ttansferable respon ibility for adhering to and complying with the ESA. The Applicant has read this disclaim an signs and dates it below. - Signature' Date: J%' G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Fnmc\Mao-pr 13,.,„,;,A,„1;,—,-;„,,. c_lo_na A. ■ 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 MANUF CTURED HOME INSTALLER: PHONE: FAx: GNU 40Y1/44-4-,' COW` C _ -, -r. ;;a 63/-77z- ( ) MAILING ADDRESS: 1 LID au " ' lox-To 0,4,-,FAID EMAIL: ■C j .t9. litOrne_e• ate nA�1 ,(ow\ CONTRACTORS LICENSE — WAINS J NUMBER: �j�Ck Y`tG X505 NUMBER ARCHITECT/ENGINEER: �,JJ PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: I Shoreline: Type of Sewage Disposal: • New /Wood Existing: E Sewer C Addition Steel Proposed: Bank ❑ Community System C Alteration/Remodel ,' Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry — SEP Permit# _ Bedrooms: Water Supply: L, Demolition ❑ Other: PP Y: Existing: _ Setback: C 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: NA----- Number of ADA Parking Spaces: Gt/,17 Number of occupants(includes owners,tenants,employees,etc.1 Current Ai,d Proposed • IBC Occupancy: . /1i — IBC Type of construction: i1 Will you have Food.Service? Yes / No If this is a Pro•ane Tank and/or A.•liance Installation •ermit mark all items below t at 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. • —I Square Footage Current Proposed For Office Use Only _ Amount Revision Main Floor Heated EH Bid App Review: 2 °Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Sec : Heated Basement Plan eck fee: Unheated Basement tate Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 1L.r — Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: ( ((SIP00 Cash/Check Number: ,sve 0 ESTIMATED COST(REQUIRED) Date: U I •Fair market value of all labor and materials foundation to finish �' / Initials: in - ___.ji_____350 o_2_G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc . . . 0 0 pz.,------ , • - . ,,,=,..)<'-wS* , ' 'el - ' () -1() - 10 . ., '..i..... , , ,..,, oRicAA , ::• -....,,,,ti. ....,, ..„...:\,A.. 4 I-8(3°-.122-)62 1 4.' -).) ' ) - t) F,tx 1)601 4')1-6 308 ORCAA Permit Application Status Permit Status 151 Approved 0 Disapproved Notes Approved 05/02/14 Survey covers three storage buildings not the home. Reviewed by Christi Duboiski Review Date 04/15/14 Permit ft Expiration Expiration Date Application Received 04/15/14 $60.00 04/14/14 Amount Due D Cash 1:1 Check 0 Credit card Additional notes or permit conditions ( vvvvw.ort,ta.or- - I OBI m to Region Clean Air Agency(0 ) 2940-B Limited Lane NW Olympia,WA 98502 slIt A‘,„ 360-539-7610 I FAX 360-491-6308 Port Angeles Office 360-417-1466 Raymond Office 860-942 2137 ORCAA ww+ ooc c i'tg DEMOLITION PERMIT APPLICATION Demolition and renovation projects within Clallam,Grays Harbor,Jefferson,Mason, Pacific and Thurston counties REQUIRE A PERMIT and require that the following permit conditions be met prior to demolition or renovation. Olympic Region Clean Air Agency(ORCAA) regulations define a demolition project as the wrecking, razing, leveling, dismantling or burning(by a fire department for training purposes)of a structure making the structure permanently uninhabitable or unusable. Renovations include the removing of load bearing structural members, but not to the extent to make the structure uninhabitable. The following information is merely a reference guide and not a substitute for agency regulations. 1.A good faith asbestos survey must be conducted by a certified Asbestos Hazardous Emergency Response Act(AHERA)building inspector. Qualified contractors and inspectors may be found in your local Yellow Pages,through the Washington State Department of Labor and Industries, or on ORCAA's website. 2.Asbestos samples must be sent to an NVLAP laboratory(National Voluntary Laboratory Accreditation Program)per 40 CFR 763.87. A list of labs can be found on ORCAA's website. 3.The start date on other structure demolition must be at least 10 working days from the submission date of the complete application and payment. 4. It is the responsibility of the property owner and/or demolition contractor to ensure there is no asbestos-containing material present in the structure to be demolished. 5.Any and all structures on the same parcel of property that are not proposed to be demolished must be identified as such. 6.A copy of the asbestos survey and approved Demolition Permit, as well as any subsequent amendments, must be kept on site and available for review by Agency inspection personnel. 7. Use the Completion Notification and Amendment Form to make changes to the original permit. 8.The original demolition permit will expire on the Completion Date.To change the completion date, a Completion Notification and Amendment form must be received PRIOR to expiration. If the permit expires and the project is not complete, you must submit and pay for another demolition permit. Under no circumstances will a project be extended beyond 1 year from original start date. ADDITIONAL REQUIREMENTS In addition to Agency requirements, most building departments require a demolition permit(separate from ORCAA's Demolition Permit).The Washington State Department of Labor& Industries may also require notification for asbestos removal projects. "Owner Occupied Residential Dwelling"means any single family housing unit which is permanently or seasonally occupied by the owner of the unit.This term includes houses, mobile homes,trailers, houseboats, and houses with'mother-in-law apartment'or a'guest room.'This term does not include structures that are demolished or renovated as part of a commercial or public project; nor does this term include any mixed-use building, structure, or installation that contains a residential unit, or any building that is leased or use as a rental,or for commercial purposes. • • PROPERTY OWNER Name Mailing address Gregory Barry 1611 Hastings Ave City ZIP State Port Townsend 98368 Wa Site address City ZIP 1611 Hastings Ave Port Townsend 98368 FAX Phone number Other contact number Email 360-381-5064 DEMOLITION CONTRACTOR ❑ check the box if same as property owner information Business/Contractor Name On-site contact Good Homes Construction E-mail Mailing address City ZIP goodhomes01 @gmail.com 1401 Cleaveland st Port Townsend 98368 Phone number Other contact number 360-531-2627 DEMOLITION PROJECT INFORMATION Number of structures being demolished 3 Start date Completion date Is asbestos present? 04/30/14 05/09/14 No Attach your asbestos survey below 20140414_192014.jpg;20140414_191931.jpg; 20140414_I91809.jpg Has all identified asbestos been removed Yes DEMOLITION PROJECT CATEGORY ® Complete demolition ❑ Training fire-(complete fields below) ❑ Renovation,alternation, remodeling, maintenance or other construction If training fire, provide fire protection agency name, point of contact and telephone number ❑ Owner occupied residential dwelling- Permit fee: $35.00-Prior Notice- Nonrefundable ® Other Structures-Permit fee: $60.00- 10 working day wait period-Nonrefundable ❑ Emergency Fee$50.00-must be accompanied by Government Ordered Declaration (other structures only) • • Attach declaration below PLEASE MAKE A NOTE OF YOUR FEE. Applicant name Date Aaron McGregor 04/14/14 I do certify that I am the owner, authorized agent of the owner, or authorized contractor for the property subject to this ORCAA application/permit. I authorize ORCAA staff to enter the property listed in this application at reasonable times for purposes of inspecting the work that is the subject of this application/permit and to ensure compliance with permit conditions, applicable laws and regulations. I understand that granting of this permit by ORCAA does not authorize anyone to violate federal, state, or local laws or regulation pertaining to activities associated with this permit. I have read and will abide by the conditions set forth in this permit and any addendum thereto. I do certify under penalty of perjury under the laws of the state of Washington that the information in this application and supplemental data is,to the best of my knowledge true, accurate and complete. ® I agree • • March 25th, 2014 To Whom it May Concern: I, Gregory W. Barry, owner of 1611 Hastings Ave, Parcel#001043037, give permission to Aaron McGregor to apply for a permit on the above referenced property. Sincere) , Gregory W. Barry t 10Z/9/S ódfO6 I I96Zb01b0b1an.asst O siaaavd/lneo/sn.um.uosaajjaf•oa•sdeuz//:duuq V 1 5 .-P 5 47E77 • 1`eFz is>:n �TlL x [ *fr.1 r eyr, 'r:'A:s<'�.K.? ,.3 h,.w _ "flK:S'WUzf •.1^u�+.,,J, 5�A'�:,rfr`. ,.. sa'fk V,.r 13o I aced DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00163 Received Date 5/6/2014 SITE ADDRESS: 1611 W HASTINGS AVE Issue Date 5/6/2014 PORT TOWNSEND, 98368 APPLICANT: GREGORY W BARRY PHONE: 360 642 HARRISON ST PORT TOWNSEND WA 98368-6518 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001043037 Section: 4 Township: 30N Range: 01W CONTRACTOR: OWNER, GREGORY W BARRY PHONE: 360 if different: 642 HARRISON ST PORT TOWNSEND WA 98368-6518 PROJECT DESCRIPTION: DEMO OF 3 OUTBUILDINGS 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 5/6/2015. REQUIRED INSPECTION: FinalApproval: 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 5/6/2014 ,4gsON c06. JEFFERSON COUNTY �/ DEPARTMENT OF COMMUNITY DEVELOPMENT O gsyll,;G1. ate: V `1 Time Received: am/pm Mon. Tue. Wed. Thur. Fri. Date: LD: b-t11-‘ - l Contact Name: ,.. r ' )caner: �,y Contact Number: 360 ,to -- • / ■ddress: ✓✓`"` I�A�,1 � 46(c S • 206 Dotes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough h 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