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Home My WebLink AboutBLD2013-00027 S BUILDING PERMIT APPLICIP1ION BLD13-00027 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00027 Received Date: 1/22/2013 SITE ADDRESS: 21 E CEDAR ST PORT LUDLOW, 98365 OWNER: CLARA P WALTON PHONE: 360-437-0287 21 E CEDAR ST PORT LUDLOW WA 983659740 PARADISE BAY ESTATES SUBDIVISION: Block: 4 Lot: 28-29 PARCEL NUMBER: 983400424 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: BILL GREENLAW PHONE: 360-620-1591 PO BOX 596 SILVERDALE WA 98383 PROJECT DESCRIPTION ENCLOSE EXISTING COVERED PORCH - EXISTING SLAB - NOT OUTSIDE FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 3,000.00 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: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Total: Total: Routing D • Type Amount Paid By: Date: Receipt: Approved/Date Permit $83.25 LYK 01/22/13 139920 Plan Check $54.11 LYK 01/22/13 139920 APPROVED State Building Code $4.50 LYK 01/22/13 139920 Total: $141.86 JAN 23 2013 Jefferson County DCD \\firlcm.r4\rinfn\forme\G P1 Il Ann P1,4 rn+ 1l9,I,fl1 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00027 SITE ADDRESS: 21 E CEDAR ST Issue Date: 01/23/2013 PORT LUDLOW, 98365 Final Date: 3/14/2013 APPLICANT: CLARA P WALTON PHONE: 360-437-0287 21 E CEDAR ST PORT LUDLOW WA 983659740 SUBDIVISION: PARADISE BAY ESTATES Block: 4 Lot: 28-29 PARCEL NUMBER: 983400424 Section: 22 Township: 28 N Range: 01 E PROJECT DESCRIPTION: ENCLOSE EXISTING COVERED PORCH - EXISTING SLAB - NOT OUTSIDE FOOTPRINT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/14/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 ON C, i. 4 II 4i Ob JEFFER COUNTY -- ' DEPARTMENT OF COMMUNITY DEVELOPMENT '' t 4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �I p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: co ( L Project Description(incude separate sheets as necessary): ^c colnl QeCch C) ) S ��-, 1� Tax Parcel Number: aill 34 009 0`i Property Size: 61(4 'I L 0/50/8 ( cres/square feet) Site Address and/or Directions to Property: a 1 k Cedar 5T eon Ludlow WA 953(5 Property Owner(s)of Record: C4,Iv& t.l ti Iter r. Telephone: 340 937 (O2S7 Fax: email: Mailing Address: At Lt Cedar ST Port Lvd10,4)f w V dig 3i ! Applicant/Agent(if different from owner):6:Il &ttler►kn w Alf;sgv' 6.e no tQA Coittro.ctots Telephone: scot) 6010 15q I Fax: 360 c S 5 113 email:w;II W om.9 ree n(a cJ Mailing Address: /0 l.- . 4 - • i• • (- 1 et 3 ` 3 - t Q:1. C - in What kind of Permit?(Check each box that applies 0 Lot or Road Segregation VIBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance M'1. .• - . ir-.ar- .... I Use) g Single Family ❑Garage Attached/Detached ❑Condition: • e r ► ❑ Manufactured Home •❑ Modular - ❑Discretio a. .. ,, _' - ❑ Commercial* ❑Special U. r I pea (; •sential Public Facilities)** ❑ Change of Use ❑Boundary justment i i I I ❑ Address ❑ Road Approach ❑Short Plat \ JAN L L {O'3 i ❑Home Business ❑Cottage Industry ❑Binding Si e PI n** L.J ❑Propane ❑Long Plat '4- L i 1 ❑Sign ❑Planned R rat ResiderMIED32 fa18 i nt((PRRDW mendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacat'��oon/AtttiggMUNITY DE!!ELO°E^ENT ❑Stormwater Management ❑Shoreline► ast€r rogram Exemption PPermit 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 Ari'Ssn Gerneio•I 1Ie1 /Or S to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE �V r_ � Date: 072--/3 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 ins. ions. Staffs 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. e wants •f'- : -- _ _..._..__. 2 Signature: I/ ego- --vs " Date: /— /3 /3 The action or actions Appl' -nt 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-transf gable responsibility f r adh 'ng to and complying with the ESA. The Applicant has read this disclaimer and signs and ates it below. Signature: Date: ./-2 2 ---/ G:\PennitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc e • • BUILDER STATEME I T 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: tAPO ISA A) GE(\11 *L Con)T R flc 7oRS 3 )WO (5 I' 3 113 MAILING ADDRESS: ,o eto.) •CV 5;k toette 9838tEMAIL:I,,.:It 4,x.3 PetAlkov e 9vott scorn CONTRACTOR'S LICENSE WAINS NUMBER: t' aT 15G+c.905R2. NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ail. Wood Existing: � ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System IF 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: «4 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 j Woodstove i Fireplace Insert 1 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. Square Footage Current Proposed fear Office I! Oily► `- unt Revision - Main Floor Heated EH BId App Review: 2m Floor Heated Consistency Review: Other Heated Base fee: 03 .a Mezzanine Additional'Section: Heated Basement Plan Check fee: Li- ( Unheated Basement State Surcharge fee: Other Unheated- Pot Watir Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other FrbA`t 05!'C to 77 IA -7-I'll- TOTAL: $ Cent(05e) Receipt Vumber: I 2 - L Cash/Check Number: •B 43 ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish _ i)3000 y 00 Initials: ------- S G:\PemutCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc D r p 5 A 1 ID "A � - -A �, O O ❑ v. E 0 v ® v -0 0 (4 w > 0 e q O c i -.I i Z. " 3— t %ell V Q `n a r.,.. •••'', simtiorstorommamoommommeoriorearmill, arr r) kis./i v.% V. _t rrl ."‘C ""ign 6 II 1.1.7 ..,:i 4. -t LA Q II ... E i C7 fv■ , ', i (j% 0 vs Z :4- 1., ri n z. g, fi i ; `"-% X E ' ' Sg LPL ,z 'm'r^_s a P ,i- i i__, Iffl V; i I a i -4 W d gy "' 4uk .,_ _ - ,-....A.3%., ...,:-.,,,,. . \ '•"---'-',,-,:.to,.. A . A.71.Z.:7,4-....4,-,;:•.%.1.7,-7..., .04',. - ,V,..§_.4.1..i4,1:-•,-.F. • - ftf.- -116 ."-- ,.. - , ioDate_l_ C)--3 time received 22... an i6 - Mon. Tues. .Wed; 46 Pd. BLD: I 3 - -2-7 Date: ) 3 I OWNER: . . S Contact Name: ADDRESS: 21 e (-.._..,E.bb A-1,"-__ P L Contact Number:360 62.0 1 S9I 206 ii 1 . g. Notes: S S S 0 Foundation Plumbing -Framing Propane Tank Mechanical ' • Setbacks Under-ground Framing . . Under ground ' Furnace — Footing Rough in Air seal Above ground Gas Sternwall _ Hydronic Exterior shear Exterior lines Oil _____ • Straps Interiorshear Interior lines . Ducts t S • . Post Hole S Ventilation Appliance • —• Underfloor .. Gas/wood stove Man-Homes - Setbacks ' Insulatlor S Final Inspection ;1 Foundation ,,.. 4" .1.•••1 .>. Biock&Tie floor _wall ceiling. Address Posted ..: • Date 47—ra— time received oZ(742 am /ID Mon. es Wed; Thur. - Fri. BLD: /3 _27 Date: Z•OWNER: r Contact Nemec ADDRESS: /71•/ Cs e-e.o/ArC.S T Contact Number 360 eV 9/ • Notes: 206 it • .Foundation Plumbing • Framing Propane Tank • Mechanical • Setbacks , Under-ground Framing Underground ____ Furnace Footing Rough In Air seal Above ground _ Gas Stemwail Hydronic Exterior shear Exterior lines Oil ^ Straps Interior shear Interior lines Ducts • . Post Hole • Ventilation Appliance Underfloor . stove_ Man•Honies . Setbacks — • Insulation. Final inspection Foundation. Block&Tie — floor wall ceiling. . A Address Posted • I - - .. .. . . . , . .47.,...1,- ..:V,,,e4..... • . , . •fe. ..,mt:Wqii.'i . . . - • :':-1:•(.4-cf,;1:3i- • fritic-iitar iV-NiviugipluikAilg/A4' . . • ''' ...% Date ---(S . rceived e re , am / pm Mon. TueS. Wed: Date: AP_ ta - . • OWNER: ())44.0+-cA r) . Contact Name: . - ADDRESS: • a --( 9 'r Q0 _(.. ./(1 ( Contact Number 360 620-(5--1 ,• • _ 206 — . 4 t.- Notes: . - a- . Foundation Plumbing - Framing . Propane Tank - Mechanical . _ Setbacks Under-ground Framing Under ground Furnace Footing Rough in Air seal Above ground • Gas Stemwall _ liydronic Exterior shear Exterior lines Oil Straps _ Interior shear Interior lines • Ducts f . Post Hole Ventilation Appliance Underfloor . Gas/wood stove Man-Homes . Setbacks • Insulation. Final InspectionX_ Foundation . . ..: Block&Tie floor _wall ceiling. Address Posted ' - i Jefferson County Building'6ivision Permit•ber: BLD13-00027 Applicant: WALTON 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 I-31- 9<.- Insulation:Walls a-2,6-(3 FINAL INSPECTION 3-12-1-../3 9 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#: BLD13-00027 Received Date: 1/22/2013 SITE ADDRESS: 21 E CEDAR ST Issue Date 1/23/2013 PORT LUDLOW, 98365 Expiration Date 1/23/2014 OWNER: CLARA P WALTON PHONE: 360-437-0287 21 E CEDAR ST PORT LUDLOW WA 983659740 PARADISE BAY ESTATES SUBDIVISION: Block: 4 Lot: 28-29 PARCEL NUMBER: 983400424 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ENCLOSE EXISTING COVERED PORCH - EXISTING SLAB - NOT OUTSIDE FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 3,000.00 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: BEDROOMS: BATHROOMS: Permit $83.25 LYK 01/22/13 139920 Exist: Exist: Plan Check $54.11 LYK 01/22/13 139920 Prop: Prop: State Building Code $4.50 LYK 01/22/13 139920 Total: ' Total: Total: $141.86 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