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HomeMy WebLinkAboutBLD2013-00008 • BUILDING PERMIT APPLICtION B 0008 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00008 Received Date: 1/9/2013 SITE ADDRESS: 65 OAK BAY RD PORT HADLOCK, 98339 OWNER: HADLOCK DEVELOPMENT COMPANY PHONE: 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: HANSON SIGN CO INC PHONE: (360)613-9550 PO BOX 928 SILVERDALE WA 98383 Contractor's License HANSOI*221J1 Expires 5/8/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION 2 NON ILLUMINATED WALL SIGNS FOR TRI-AREA PHARMACY TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP SGN MAIN: INDUSTRIAL: VALUATION 1,000.00 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: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: otal: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $76.00 LYK 01/09/13 139882 AP�p���� Plan Check $76.00 LYK 01/09/13 139882 RR Total: $152.00 SAN -9 2012 Jefferson County DCD \NirlemorNrinfn\fnrn RI fl Ann PIA rn+ 1/O/9f111 • • 1 , C V I December 13, 2012 JAN - 2013 11 =� Hanson Signs Inc. I j JEFFERSON COUNTY P.O. Box 928 E._ PIPT.OF COMMUNITY DEVELOPMENT Silverdale, WA Attn: Gary,phone (360)613-9550 Re: Two Tri-Area Pharmacy business signs to be mounted on the roof of the retail building (Kivley Center), at 65 Oak Bay Road, Port Hadlock, WA. Amerisource Bergin/Good Neighbor Pharmacy contracted a sign designer and Hanson Signs in Silverdale will construct and mount the two signs: Sign#1 (120"X 42") will be mounted on top of the roof on the front of the retail space of Tri- Area Pharmacy. Sign#2 (96" X 24") will be mounted on the side of the retail space of Tri-Area Pharmacy. In regards to the above mentioned signs, I understand that if I have any questions regarding the signs and the mounting of them on the roof of the Kivley Center building, I will immediately call Gary at Hanson Signs. I approve and give permission to have the two above referenced signs mounted on top of the Kivley Center building roof. / 7 4 , ; Jo hold er/landlord of Kivley Center building t�� Upper Oak Bay Park Road, Port Hadl©ck-lrondale,OVA-Goode Maps http:/'maps.google.com/maps?hl=en&tab�v • To see all the details#hat are visible on the screen, use the"Print"link next to the map. L.) A �� ., " P+X fad iock , 1 4‘ltrt , 44 ' -''ilir- ' *Vir - , -,,, , ' , ,- .:4*'-1. ...4‘,4:f , ,, !, 'F ,, ' "'a per" 3 :. ',$4 ., ,: a.✓Iu .Gvk4 lr Snag A i¢: gg .4,„ �� 47.>�� 7z,'„,d Cat 7 "k' .. - --4,.F '�r^ " A k- „r s s t 1 R ' � a .., n; v i , i lea Se •' n C 0 M[E J .' ` OUNTY DCD L,, �f ING D'A RE VIEW`� N - 2013 APPROVE S SUBMITTED 1u u= I / I JEFFERSON COUNTY I 0 APPROVED AS NOTED _.,_DEPT.OF COMMUNITY DEVELOPMENT 0 (REJECTED Date t Reviewer 1of1 11/12/20128.14A 1 y i 24 42" 6 3/4.. 8 3/4" .(;„i: . , Q N immillill N I ilVilil=1111 a It O m 0 O O; a -P m 110111.111113111 . m X _ W WNW to —• Z Z= O 0 ‘ li O' m m mp zo oz 0 fitiorj 0 X cai, --I c N s_ '=' =-( _,XI ry�q V = co 00 Z V N tJ' ip. C7 O_ O ° O (n ocN a ^ a r� m ® _ _ m o a o C co lit, g pp z W � � w ` / • CO C)Fi v — o H = It< z - i — vl � rn ,. 1 1�t n Z fTl ° �T1 7r3 _i �t37 XS r > o I > 7 M tF r O C 1 > °`, 0 S 7a 1•i V 1 + Fri -„ i 1{ it 1 L r 5+�" + rn E, fi P (.1 ay {� §a �, e y : ` =x..�,."n N o o �.\A a r' r, o PV . ., w, a s-HH ^' J r 2 _lal rl x y 0 o rn O W z .l • >I 0 0 .... . .,. .. ..... . . E ,,„„....., . 0 ii•CIOC , Ogm CWi EV 0 ciii) , . .„,.„..,„....„.„..... . . < - ir � I I, 1i �p - 9 2013 Ili �� JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 0 • 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 MANUFACTURED HOME INSTALLER: PHONE: FAX: C`.1(t.ne 0,0 6 r • l 0-70 �n ��T (t �o) C�►3-q 550 (moo))( t -CS-IL5 MAILING ADDRESS: t'•(�.3 c}}(. of of ) 3,1 o E_"ra t e j)ft EMAIL:&fOn✓l i I , vleAa e a. ("'.c ble..c_00? CONTRACTORS LICENSE r i WAINS �J NUMBER: ka f�3( T r�d 13- ! NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Af New 0 Wood Existing: 0 Sewer O Addition 0 Steel Proposed: Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: Height ❑ Individual System ❑ Repair 0 Masonry SEP Permit# O Demolition 0 Other Bedrooms: Water Supply: Existing: Setback: 0 Private well ❑ Two Party Type of Heat: Proposed: 0 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 _ IBC Occupancy: IBC Type of construction: Will#l 'u.[rfi // If this is a Propane Tank and/or Appliance Installation permit.mark all items Ytfta sp . G �� I I I Underground Tank I Above ground Tank Size of Propane TI i�- t Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank, I Peeve- 1 ORM Is this appliance being installed in a Manufactured/Mobile Home? Yes / Nc L When applying fora permit to install a propane tank you must also submit a Site - •: ' . • gs,all property lines,tank location and size,distances from the propane tank to all property lines nbuildin ' - , system components, includin• the reserve area. f C.,;t,"R IN DES 1 i n Q4Ehs„T S• -re Foo,: .a Current - _ -, �,T-4-,---F, �� r-- t Main Floor Heated '- =. EH Bid Review ' ?', --x App 2na Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement ---` Plan Check fee: 17(0 ' Unheated Basement - T=-a State Surcharge fee: Other Unheated �-- Pot Water Review fee: . ” -- . .-):;;T Garage/Carport '' SUBTOTAL Decks t�— -T 911/Rd Approach fee: Other ,2 TOTAL $ \32 7- Receipt Number. S q 8732 Cash/Check Number. ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish { //00 D Initials: - G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc (4----43,s0N ill 49 w JEFF SON COUNTY ►, -�; �C DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 `��IINO�Q 360/379-4450 • 800/831-2678 . 360/379-4451 Fax www.co.jefPerson.wa.us/com and evelopment Sign Permit Supplemental Application . r n lia-S CI �i...111tE PROJECT/APPLICANT NAME: /r/�-4y.Pei Pm v ma V 11111 Puri). = .,� ,SAN - 9 2013 U The pu •is ,' --�7!., 'OOltt oce,,,is to - sure consistency with the applicable sections of the Unified Development Code (UDC). You wi' submit a ,,3' .•-. .:Ion Form in conjunction with this supplemental application. Refer to the materials accomp.nyin '+6,- , 'ermit Application Form for additional information. Process Signs are reviewed administratively as Type I permits by the Department of Community Development (DCD). An administrative determination to approve a sign application will be made when the proposal is consistent with section 6.15(SEE ATTACHED)of the Jefferson County Unified Development Code. An administrative determination to deny an application will be made when the proposal is not consistent with the UDC. Denials of applicationS for sign permits will be accompanied by a written statement identifying specific areas in which the proposal is deficient. Supplemental Information r Are there any signs currently on If yes, list type, dimensions, square footage of sign area, site? location. TYPE: DIMENSIONS: SIGN AREA(SQ.FT.): LOCATION: TYPE DIMENSIONS: SIGN AREA(SQ.FT.): LOCATION: TYPE DIMENSIONS: SIGN AREA(SQ.FT.): LOCATION: List proposed signs: TYPE IL)(J((I 0;91A DIMENSIONS: ,1 1 (p i'X /1) 1 SIGN AREA(SQ.FT.): c?j S Sc LOCATION: s isgi-41 wGt I ' TYPE • ' ' / DIMENSIONS: r9 I )C 5 ' SIGN AREA(SQ.FT.): ' to S- LOCATION: Ca 54- VVCL I The applicant hereby certifies that the statements contained in this application are true and provide an accurate representation of the proposed amendment; and the applicant(s) hereby acknowledges that any approval issued on this application may be revoked if any such statement is found to be false. e 'L 1 i'/K2 gh02-. Lt APPLICANT'S SIGNATURE DATE SIGN PERMIT.DOC REV.9/22/2004 Page 1 ir Jefferson County Buildin9 ivision Permit mber: BLD13-00008 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 ( 43-024:: FINAL INSPECTION qe f 3 ` FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00008 Received Date: 1/9/2013 SITE ADDRESS: 65 OAK BAY RD Issue Date 1/9/2013 PORT HADLOCK, 98339 Expiration Date 1/9/2014 OWNER: HADLOCK DEVELOPMENT COMPANY PHONE: 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: HANSON SIGN CO INC PHONE: (360)613-9550 PO BOX 928 SILVERDALE WA 98383 Contractor's License HANSOI*221J1 Expires 5/8/2013 PROJECT DESCRIPTION: 2 NON ILLUMINATED WALL SIGNS FOR TRI-AREA PHARMACY TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP SGN MAIN: INDUSTRIAL: VALUATION 1,000.00 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 $76.00 LYK 01/09/13 139882 Exist: Plan Check $76.00 LYK 01/09/13 139882 Prop: Total: $152.00 Total: 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 JEFFERSON COUNTY NO. 139882 DATE 1-q-• 13 RECEIVED FROM [34:11-E- nc DESCRIPTION C BARS# AMOUNT CURRENCY D gu sfC "rip-- 0101 30 I COIN Et, j �/_ r rC�ECKKK �¢' - 2 t, 4 i iG,9s1 2 o 1„.....:.:„ _ .-, :., , „ O t :IC RECEIVED BY TOTAL .