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Home My WebLink AboutBLD2013-00092 BLD13-0002 BUILDING PERMIT APPLI TION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00092 Received Date: 3/27/2013 SITE ADDRESS: 299 FLEET DR PORT LUDLOW, 98365 OWNER: DAVID L BLESSING PHONE: 360-437-9426 NANCY B BLESSING 299 FLEET DR PORT LUDLOW WA 98365-9623 PORT LUDLOW NO. 2 AREA 3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603169 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INTERIOR REMODEL - KITCHEN, NO WALL MOVING, SOME PLUMBING & ELECTRIC 9Qr%,(90-,4-4- NY-) a C amc TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 48,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $623.55 JLA 03/27/13 140154 //�� Plan Check $405.31 JLA 03/27/13 140154 APPROVE[) State Building Code $4.50 JLA 03/27/13 140154 Total: $1,033.36 MAY - 2 2013 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/27/2013 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 #: BLD13-00092 SITE ADDRESS: 299 FLEET DR Issue Date: 05/2/2013 PORT LUDLOW, 98365 Final Date: 7/29/2013 APPLICANT: DAVID L BLESSING PHONE: 360-437-9426 NANCY B BLESSING 299 FLEET DR PORT LUDLOW WA 98365-9623 SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: PARCEL NUMBER: 990603169 Section: 9 Township: 28 N Range: 01 E PROJECT DESCRIPTION: INTERIOR REMODEL - KITCHEN, NO WALL MOVING, SOME PLUMBING & ELECTRIC, PROPANE TANK AND APPLIANCE 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 Fl ° INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/29/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013 Date 7/4 l3 time received P:19 a pm Mon_ Tues. ed Thur. --Fri. • BLD: /3 - DODgZ . - Date: 7/17//i- OWNER: DLEs_5 IA.)G - - - - - Contact Name: //�� ADDRESS: z 9� • fleet P .. . Pt Contact Number.360 30/ -31D(� - 20.6 - . z Notes: - Foundation -Plumbing - Framing' • . Propane Tank. • Mechanical - Setbacks Under-ground Framing Underground Furnace - Footing Rough in Air seal Above ground - Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines • Ducts ` Post Hole Ventilation Appliance Underfloor Gas/wood stove Man=loonies . • • Setbacks - Insulation. Final Inspection >,_♦� Foundation- • "` Block&Tie floor _wall ceiling Address Posted • s _ • • )- . • 4..... .,:....4,-..T.1% I . 1.44, :AAVS.TSTP14--.. g-en."`''''''''.:v..7 .. WVM:a W ' . . fa . o-,.... _ - Date 5,-; /lime received /V,"j(l;Ri / pm Mon. Tues. Wed. BLD: Date: OWNER: Contact Name: ADDRESS: 2—qq, ...— C 0 tr\ _ Contact Number.360 206 A - Notes: • - .Foundation Plumbing -Framing . Propane Tank Mechanical . . Setbacks Under-ground Framing _.Z.._ . . Under ground Furnace Footing Rough in 2 ,..._, Air seal Above ground Gas Stemwall __ Hydronic Exterior shear Exterior lines Oil • Straps _____ Interior shear Interior lines • Ducts 9 . Post Hole • Ventilation Appliance• - Underfloor . Gas/wood stove Man-Homes Setbacks S Insulation. . • Final Inspection ,., ., .:;. • ,....i • Foundation • • • --3.--• Block&Tie floor _wall ceiling. Address Posted t i , ..• :; �. - - '), n Date - �� •timereceived ► •m ! pm Mon. Tues. ,Wed: - Fri. BLD: . Date: C –2,0 OWNER: E f cc fl/L. - - - Contact Name: ADDRESS: v 619 1--/ee- Contact Number-.360 * 206 '` Notes: - - Foundation Plumbing - Framing' . . n .P•ae-Tank - Mechanical Setbacks Under-ground Framing Underground Furnace Footing Rough in Air seal Above ground Gas Stemwall __ Hydronic Exterior shear Exterior lines Oil Straps Interior shear — Interior lines • f% Ducts - Post Hole _ Ventilation Appliance Underfloor Gas/wood stove Man-Honaes . Setbacks Insulation. n Final -`;•y iris Foundation _ _ - • Bieck&Tire floor _wall ceiling. . Address Posted • t Microsoft Word-Master Permit Application 12-19-2006.doc-Mast... http://www.co.jefferson.wa.us/co mndevelopment/Land_Use_pdfs/M... 4,t.i, SON Ooh, JEFFESN COUNTY • ;,� '.. DEPARTMENT OF CO(V�'►+1UNITY DEVELOPMENT jz 0)/ 3- Q1 ti '` 621 Sheridan Street•Port Townsend•Washington 98368 f� `�j 3601379-4450. 360/379-4451 Fax 4.�`S$IlYG�C5 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sG 1 _1 (% s necessary): /nIrk7 01/Tax Parcel g9,�y(003/6 Pr�arty Number: ! (/ Size: (acres/square feet) Site Address and/or Directions to Property: igc1 Fu i Oa. alz-f- Lut)L cii.ii , u4 Property Owner(s)of Record: 'Av.iD A NI) NANCY 3 L s"S r N C, r Telephone: 'stop tj 7 °142(n Fax: email: CP.S'u/1 S (a) earjte5?ctcj . t'z+, Mailing Address: 7-014 i Lf' T i7i?, 'PcDizT L.UDLC.1r.6 LLA ci3-3/05- Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of P it?(Check each box that applies 3Building -e...( ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a).C(d),or Cj** ❑Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification o Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)*" ❑ Commercial* ❑Boundary Line Adjustment 0 Change of Use ❑Short Plat*" ❑ Address ❑Road Approach ❑Binding Site Plan** ❑Home Business 0 Cottagelndustry 0 Long Plat-" ' Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration*" ❑Allowed'Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions-- ❑Stormwater Management ❑Shorelne Management Substantial Development*" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoretne Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **quires 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 his,her or it's 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 cess and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requir-• ater inspections Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app .ti fti a or she wants prior notice_ Signature • _ Date 5/Z`74 3 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 c .fiance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual' and non-transfer.'le •o sibility for adhering to and complying with the ESA The Applicant has read this disc mer nd signs and dates it below_ Signature: -t Mil - _ Date: � Z7 C:'',Document and Sett gs',cuar„Local Settnga',TempozazvInternet Eles'',OLKS6'',Maatez Permit App:icat:on 12-19-2406.doc 1 oft 3/4/2013 3:27 PM # 1 Microsoft Word-Master Permit Application 12-19-2006.doc-Mast.. http://www.co.jefferson.wa.us/corn mdevelopment/Land_Use_pdfs/M... • BUILDER STATEMENT • The sigier d this st e nt does hereb certify at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumi e resppnsibility the ral Coritractor for the proposed project Signature: (c.'I/ r , Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: OAQIC) tRvC,C-,5 ( 3(0P 27I 3 (L,1 ( ) MAIUNGADDRESS: F, o, boy. 'Poo: c,Aeiiyx.. CA)A EMAIL: rte e S c`av+G1 9' (@ Imo-,1• -jyr CONTRACTOR'S LICENSE WAINS NUMBER: ('1 C•Tg/5C4 022 t ) NUMBER • ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAI U N G ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Existing: ,3 I Sewer Addition teal Proposed: Bank Community System Alteration/Remodel Concrete Total: 3 Height: Individual System Masonry SEP Permit# Demolition Other: Bedrooms: Water Supply: Existing: 3 Setback: Private well Two Party Type of Heat: Proposed:Total: O Public 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: Wilk you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ■ Underground Tank Above ground Tank Size of Propane Tank: /Iss 0 i Heat Stove +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 / '. 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 For Office Use Only Amount Revision Main Floor Heated EH Bid App Review. 5 2a Floor Heated Consistency Review: I _ - Other Heated Base fee: C015, S Mezzanine Additional Section: 1 .— Heated Basement Plan Check fee: ____. _ yn5. 31 Unheated Basement State Surcharge fee: '/ 5-0 Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ /055v ✓ Receipt Number: ✓ Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •fjoir market value of all labor and materials foundation to b finish �O ® Initials: i C',Daa:merts and Sett g>`.,cara:',Lacat Se is:gs',Tempoiar,-;rte jet Edes`,OLKS6'',Ms;tex Pearit App:icaEan 12-19-2406.doc 2 of 2 3/4/2013 3:27 PM ,,,,. Contractors or Tradespeople Printer Friendly Page • Page 1 of 1 • General/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name RIGGS CONSTRUCTION UBI No. 601894881 Phone 3604372926 Status Active Address Po Box 3 License No. RIGGSC*028RW Suite/Apt. License Type Construction Contractor City Port Gamble Effective Date 12/16/1998 State WA Expiration Date 5/2/2014 Zip 98364 Suspend Date County Kitsap Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status RIGGSC*044KF RIGGS Construction General Unused 5/6/1996 5/2/1999 Archived CONSTRUCTION Contractor HOMEAB*066PE HOME ASSOCIATES Construction General Unused 10/5/1994 6/1/1998 Archived BUILDERS Contractor PENINCCO6ONJ PENINSULA Construction General Unused 8/11/1994 7/30/1998 Archived CONSTRUCTION CO Contractor PENINCC096M3 PENINSULA Construction General Unused 7/23/1991 7/1/1994 Archived CONSTRUCTION CO Contractor HOMEABI027J3 HOME ASSOCIATES Construction General Unused 4/23/1998 6/4/2013 Suspended BUILDERS INC Contractor Business Owner Information Name Role Effective Date Expiration Date RIGGS, DAVID SIMEON President 01/01/1980 _ RIGGS, VANESSA (Vice President 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 CBIC SE6685 05/02/2004 Until Cancelled $12,000.00 04/06/2004 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 8 CBIC insse6685 05/02/2011 05/02/2013 $1,000,000.0003/29/2012 7 CBIC INSSE6685 05/02/2006 05/02/2011 $500,000.00 03/30/2006 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 3/27/2013 D —I • X -b o co —I -b x —I —I co m —• -- o -o co m x o_ n r+ x CD 0 -3 -0 m O - -0 -3 -3 0 CD C O_ CD CO 0 CD =' CO CC -- CD CC CD CD I- CD r+ O CD - o 7t m -5 E -; .. m to o = # CC CA N CD n oo Co co -5 o_ O O O CO O O OO O N 00 CO CO r CO M o 00 rn 0 CA) CA) O) O 0'7 C Cn O CO O H- - Cv CO N Z v n � r1- I- r" -o co O CO 3> D O -0 C m O O CD 70 CO Z E 3 N CO Cn -I 70 O —I n H -o Co co --♦ TI -< v r m —I H — n 70 r r m x z rn r o_ m n c m 07 I- -I G7 CO C a 3 0 m m 0 N r" o r- —I o n —I r co o r- r D a v o N -0 rn X 0 M M v � x n X 70 •• 70 Cn Cn 0 D C O O co co 70 co H Z Co -13 m H H m r- v O N m n M z z co m O 7O o_ n c) cO co r -•I —I N N -G X X CA) -- Ca H D 3 o CO z 70 n o_ w v n I- M cn O 0) O \ CV D -I E C.1 X C 7 m I O_ CJ 70 co n o> o C N o. m co CD CD O O --I --I C") � � 3 -0 v I- 0 70 O Z m n n o CT n -A cn =- s D- C -- I co Co H o_ r+ CO 0 O MI I-1 C 0 n O z CA r+ O_ 7O 3 iz c1 -5 o 0 r c.0 — CL o m � 4 w - CD -y O � GJ •. •- 0 � -4 (_ I-1 4::. o H O -, T Z CT N T .O O C O I--1 � 73 sC.- at lelf _ irtaf art 1— 114 Ill n - It r‘lt �- 'w c -1— —'-1r4T -�- -i- Ir4'_1 s 11 —r b a tffJ4 pt!T 1 'st—I— t—I— tVCT —ft—I•$t•I— 11IIrrt"t '�4 dix —p ■ 1 ■ ■ ■ 1 1 tip\ I _ 4 r r J g . 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Iii 0 1 0 0 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00092 Received Date: 3/27/2013 SITE ADDRESS: 299 FLEET DR Issue Date 5/2/2013 PORT LUDLOW, 98365 Expiration Date 5/2/2014 OWNER: DAVID L BLESSING PHONE: 360-437-9426 NANCY B BLESSING 299 FLEET DR PORT LUDLOW WA 98365-9623 PORT LUDLOW NO. 2 AREA 3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603169 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: PO BOX 3 PORT GAMBLE WA 98364-0003 Contractor's License RIGGSC*028RW Expires 5/2/2014 PROJECT DESCRIPTION: INTERIOR REMODEL - KITCHEN, NO WALL MOVING, SOME PLUMBING & ELECTRIC, PROPANE TANK AND APPLIANCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 48,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $623.55 JLA 03/27/13 140154 Exist: 3 Exist: 3 Plan Check $405.31 JLA 03/27/13 140154 Prop: 0 Prop: 0 State Building Code $4.50 JLA 03/27/13 140154 Total: 3 Total: 3 Total: $1,033.36 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 'ivision Permit u, ber: BLD13-00092 Applicant: BLESSING 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 Rough-in Plumbing Framing Gas Line: Interior Propane Tank Smoke&CO2 L■ �cL' FINAL INSPECTION I l\I3 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR