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HomeMy WebLinkAboutBLD2013-00002 °BUILDING PERMIT APPLICOION B 0002 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00002 Received Date: 1/3/2013 SITE ADDRESS: 93 OAK BAY RD PORT HADLOCK, 98339 OWNER: HADLOCK DEVELOPMENT COMPANY PHONE: 360-385-0480 PO BOX 179 PORT HADLOCK WA 98339-0179 SUBDIVISION: Block: Lot: TX 43 PARCEL NUMBER: 901013013 Section: 1 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII NEW DOORWAY& LANDING IN RETAIL GUNSMITH SHOP TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 400.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: • Type Amount Paid By: Date: Receipt: Approved/Date Permit $38.75 LYK 01/03/13 139865 APPROVED Plan Check $25.19 LYK 01/03/13 139865 State Building Code $4.50 LYK 01/03/13 139865 JAN -3 2012 Total: $68.44 Jefferson County DCD %%+ir4cmarlAr1.+.%forme\R RI fl Ann RIrI rn+ 1 I I)fl1 „,,, ON CO • 4i L, JEFFERSO COUNTY w� ' `e DEPARTMENT OF COMMUNITY DEVELOPMENT "'� 621 Sheridan Street • Port Townsend •Washington 98368 . 4.. ; �' ' 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Cs Master Permit Application MLA: Project Description(include separate sheets as necessary• , 1 d(40-e. f. Ll cLii_ 6((11-S p t Tax Parcel Number: ( 0 1 3 0 (?j 11 Property Size: (acres/square feet) Site Address and/or Directions to Property: 93 Cti__- .a.,i-c PO .,.P.T -6,c4 Ind LZA 9F 3561 roperty Owner(s)of Record: Q• .0 k •- , . . „ ern 0- Telephone: 3(00- 3$5-04g© Fax: 3(,O 379 6E19'2.- email: Mailing Address: 0 0. .s ., f crd J c s -"-Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: W at kind of Permit?(Check each box that applies ❑Lot or Road Segreg^^ © i E [ 1J La Building ❑Critical Areas Stewa d hip Plan ❑ Demolition Permit ❑Variance(Minor, Maj for Reasonable Economic U ) ❑Single Family ❑Garage Attached)Detached ❑Conditional Use[C(aj;1C(d),o5�,,- ❑ Manufactured Home -.❑ Modular • - ❑Discretionary D” r Unnamed) e a if I�n I ❑ Commercial* 0 Special Use(Ess alTublic Facilities)** ii • Change of Use ❑Boundary Line Ad ustmeht 1 ❑ Address ❑Road Approach ❑Short Plat** JEFFERSON COUNTY ❑ Home Business ❑Cottage Industry ❑Binding Site Plan t'*__ DEPT.OF COMMUNITY DEVELOPMENT ❑Propane ❑Long Plat** ❑Sign .. ❑Planned Rurai 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: DESIGNATION OF AGENT I hereby designate _ . As to act as my agent in matters relating to this application for permit(s).II ir __, / i c Date: /OWNER SIGNATURE' o A A ��rAri ! Z.— / By signing this appf-<tion 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 kno edge. 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 agre- • • = -ccess and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review an• any required inspections. Staff - -ss and '!ht of entry will be assumed unless the applicant informs the County in writing at the time of th application —or sh nts prio ice./ i / ignature: �-- A. WA lr �� - Date: �" Z The action •• ctions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or Oendangered 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)eve ' • re,�'{'compliance with th- efferson County development code.The Applicant acknowledges that he,she or it holds individual d non-tr sferabl- r=te:••nsibili for adhe, •• o y? c •lying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ignature: _ice.., J. _ ,L- Date: / 2 -/3 G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc i • i BUILDER h ER STATEMENT The sign • -' -teme. :.oes hereby certify tha they are the Owners of the parcel',referenced herein,that they are not licensed contractors and that they I be assumin•t ponsib of the/ ral/ntr '.r for the proposed pro,ect. ~7 airsignature: �Ir, __ Date: /.---L _/3 • 1GENERAL.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: o 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 ❑ 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: 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 III When applying for a permit to install a propane tank you must also su it a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all prcperty lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only. E Amount Revision Main Floor Heated EH BId App Review: 2"°Floor Heated Consisterycy Review: Other Heated Base fee:1 —53 75— Mezzanine Additional Section: _—__,___ Heated Basement Plan Check fee: Ca5 )9 Surcharge fee: "'...4.Unheated Basement State Sur Other Unheated Pot Water � Review fee: Garage/Carport I SUBTOTAL (pS 4-4 l I Decks 911/Rd A)proach fee: .— Other � TOTAL: $ (05 .44. Receipt Number: 033105 Cash/Check Number: 01 III TinfiK COST{REQUIRED) 3 , Date: `y�� 'Fair market value of all labor and materials ounda'on to finish — z > Initials: C_ `— G:\PemritCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Applic lition 5-29-08.doc • • Power Room 1 c rE, U V iff 1 1 , ,---- 7 , L JA - 3 2013 1 ' i \ EiFERSGil C3J'ITY OF''''OF COMMUNITY Dr,,LI 07FMT Retail Space Safe Downrange Guns & Gear Room 93 Oak Bay Rd Port Hadlock, WA 98368 with Proposed New Doorway Bath ) Gun Smith Shop Doorway Addition Room ----- 11k----................- un Office Smith Shop ,(•N__ 2\ • TOOLS SHELF BENCH UNIT --- SHELF UNIT DESK/W BENCH SHELF UNIT TRASH SAFE PLATFORM SINK CLEANING TABLE 3-0 x 6-8 Door Platform Riser 6 5/8" DOWNRANGE GUNS & GEAR PROPOSED GUNSMITH SHOP Ir----) FECEOV FLOOR PLAN 1 !I JAN 3 2013 ;1 Li Li' JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Jefferson County Building ■ vision Permit N -rber: BLD13-00002 Applicant: HADLOCK DEVELOPMENT COMF BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 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 Framing -10-‘3 LAND 1N FINAL INSPECTION _ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1 • BUILDING PERMIT ID Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00002 Received Date: 1/3/2013 SITE ADDRESS: 93 OAK BAY RD Issue Date 1/3/2013 PORT HADLOCK, 98339 Expiration Date 1/3/2014 OWNER: HADLOCK DEVELOPMENT COMPANY PHONE: 360-385-0480 PO BOX 179 PORT HADLOCK WA 98339-0179 SUBDIVISION: Block: Lot: TX 43 PARCEL NUMBER: 901013013 Section: 1 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW DOORWAY& LANDING IN RETAIL GUNSMITH SHOP TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT INDUSTRIAL: VALUATION 400.00 MAIN: ADD'L: HEAT TYPE: CODE EDITION: 2009 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: BATHROOMS: Permit $38.75 LYK 01/03/13 139865 Exist: Plan Check $25.19 LYK 01/03/13 139865 Prop: State Building Code $4.50 LYK 01/03/13 139865 Total: Total: $68.44 NUMBER OF EMPLOYEES: 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