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Home My WebLink AboutBLD1990-00560IF , 4 1 .TF.F F.R.E3C3N C3C.7i77917V T3c_7T T..DT NG APPL.T CATT OTT Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •RLD90-0560 DATE RECEIVED. : 08/13/90 SITE ADDRESS: 550 RAVENS RD :PORT TOWNSEND, WA 98368 OWNER -EDWARD DRON PHONE. : MATLTNG ADDR:550 RAVENS RD :PORT TOWNSEND WA 98368 CONTRACTOR. . :OWNER I -DP .E� I IV °41' . PHONE: MAILING ADDR : 5/(, LEUUIS S j OA LJ J D e,4 T4(6,07 CONTR. LTC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: A PARCEL NO. . . :002122011 HEAL H• QV ' j.: . 0 LEGAL DESC. . :STR 12-30-02 WM, TAX # AY: L� // DATE: ,�.� marE) LOT 1 , BLOCK , J KENT HOWARD SP SHORELINES : O! 7°' BY: DATE : • � , DESCRIPTION OF IMPROVEMENT: artist ' s studio Will ,,,1,,,,5 t. .,� BUILDING TYPE -NON BEDROOMS--- BATHROOMS-- MAIN FL. . . : 320 sf TYPE OF TMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 2ND FL - .320 0 sf GARAGE/CARPORT PROP. . : 0 PROP. . : 1 3RD FL 0 sf WOODSTOVE •Y TOTAL. : 0 TOTAL. : 1 BASEMENT. . : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC CARPORT. . . : 0 sf TYPE OF CONST WATER SUPPLY. : GARAGE. . . . : 0 sf UNITS. : 0 STORIES: 1 HEAT TYPES. :EBB/WOD/ DECKS 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD ��jj MAKE: YR: INDUSTRIAL: 0 sf EST COST. $ : eT A6' �ac900 SIZE: RANK HT. . . : 70 ft PROJ GRP. . : 752 ALt SH SETBACK: 140 ft Owner/agent L FEES Signature: / , /Ate Age.s/_ type amount by date recpt PRMT $ 144 . 00 AK 08/13/90 49863 Date : 14y9() _ PLCK $ 2.1 . 60 AK 08/190 49853 APP R O V ED / ` B.C . $ 4 . 50 AK 08/13/90 49863 Issued By: VV {(1n oI �7\ a-ddt i-j �.oa t°�/�.� �Y Qqo Date: 2 117 11 \ X110 wylS}(rYS S��a ( 11f19� const SEP 1 Jeffr son rr"niv Planning $ 31�. .'f�nt 15V1-(6''D �'� �V r . • •• TF.FF'1~:T2SC)N CC)TTN'T' T T3[TT T,TIT NC7. PF.,RNfT 'i' Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Tnwnssnd , WA 98368 206-385-9141 PERMTT # •RLD90-0560 DATE TSSUE.D. : O9/1 2/9O SITE. ADDRF.SS : 550 RAVENS RD : PORT TOWNSEND, WA 98368 OWNER -EDWARD DRON PHONE : MAILING ADDR : 55O RAVENS RD : PORT TOWNSEND WA 98368 CONTRACTOR. . :OWNER PHONR MAILING ADDR : CONTR . LTC #c EXPIRATION DATE: / / PARCEL NO. . . : 002122011 LEGAL DESC _ . : STR 12-30-02 WM, TAX # LOT 1 , BLOCK , .T KENT HOWARD SP DESCRIPTION OF IMPROVEMENT: artist ' s studio 4 fpoc5 ) ( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking: ( ) Foundation : ( ) Underground Plumbing/Underground Tnsulation : &151 ( ) Fr � \C'cz f C1-,0(- .e C34 .-56-nkO ( ) S h 1 , C)-;\a-AJYY ( ) Se /Ad, okr,4QuccLoy, ( ) Pi --f C kn 50 3C�' Ltl1 � CALL 385-9141 24 HOURS IN ADVANCE. TO SCHEDULE TNSPECTTONS. Office Hours 9 a .m. to 5 p.m. Tnsnectnr ' s Hours 9 - 10 a.m. 24 Hour Recorder for Tnspections. juawlyadsO BUOTS " buluueld klunn u011agar S 1(3v THEE AL I V— ao —FlxeD WiNDow 05 I fp" ------ —, +fr 1+ A- C- T :SMOKd f-Aq-ob-% az e-CAle-'e-e-re R- & ti aoy '30 FlAe � S lit W AJMW C, --v T eVIM t r_vl z t3 fi L-lz 111 .4 C- 1, I Lel. 4` (L to oC ,Rf4r' edlei PAUeNS- �TXA Q A 16 I 16� I W- I>L. A e- e- S &V SY 5 -reA,\ 7K %3 V)',�gON �0�, JEFFERSON COUNTY --- �� (�]�� y'J � (---- DEPARTMENT OF COMMUNITY DEVELOPMENT i'e t 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 - 360/379-4451 Fax MAY — 2 Z(!88 �` O www.co.jefferson.wa.us/commdevelopment =5'....._ ' I,r rrn rrrnff (T"li,n I 1 no Master Permit Application MLA: i¥.11 .- : Project Description (include separate sheets as necessary): 6Q6o(/�.frt9 l 1 d -be? A hl I n 5k I( I00 fat pra&ne god f45 )3/Mn . Tax Parcel OO _ / ( .07._-• l0 i Property Number: Size: !■ 'V (acres/ quare feet) Site Address and/or Directions to Property: E5-(9 / 6v — J1 r R D • r P+"• Tawn i, 1„d 14 er 836 Property Owner(s)of Record: L)Wia)2.1) , 1.1 ?49 vt Telephone: 31- Y3c 5 Fax: /email: Mailing Address: 5SJCO RI�NV t N j?Q . l'f. TowvtSC*I� ].+./p1- °1t3 ' Applicant/Agent(if different from owner): —A-R Ry Scot/UL- 1, prow f 2. T Os ftdr ite g, (p b.k,) Telephone: -;6O-3�' '— 43-TS Fax: email: - —i , Mailing Address: ..310 8 it'' St. 0' +. Tot✓✓t5erg12 (A• 'fS36 CA...'c p -• rte What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑ Special Use (Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑ Road Approach ❑ Binding Site Plan** ❑ Home Business ❑ Cottagelndustry ❑ Long Plat** eropane ❑ Planned Rural Residential Development(PRRD)/Amendments** II Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* O Shoreline 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 Vegetation Request *May require a Pre-Application Conference **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 L.alr ry CO S (f 11(e to act as my agent in matters relating to this application for permit(s). . OWNER SIGNATURE S _Q_ ?OWR . 0C a.1-4-or ti 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 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica'on that he or s e wants or notice. 1 Signature: Date: 5/2 I 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 in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf r ble responsibi for a ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: elAill Date: D (2- 1/0 8- G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc i 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 NTRACTOR OR MANUFACTURED HOME INSTALLER: C.5�h s v� er0 p 4 sz-c 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: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# C 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 A.•liance Installation •-rmit mark all items below that a..I : I Underground Tank _'bove .round Tank Size of Propane Tank: `',/J g Al �J ' 1 I Heat Stove ' Cook Stove Woodstove I Fireplace Insert I Hot Water Tank t Pellet Stor I Other cl-epncQ nd 1,1154 Is this appliance being installed in a Manufactured/Mobile Home? Yes / No t4d4fer ke e-vt_ 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 Bld App Review: 2`d Floor Heated Consistency Review: Other Heated r-, Base fee: bt q Pliel e, 15"1- OD Mezzanine Additional section Heated Basement MAY - 2 2008 Plan Check fee: Unheated Basement State Surcharge fee:in Other Unheated Al Pot Water Review fee: Garage/Carport SUBTOTAL 151.00 Decks 911/Rd Approach fee: Other TOTAL: $ \,5- co Receipt Number: q' 3t (a ��/ 1 Cash/Check Number: a D -(4 ESTIMATED COST(REQUIRED) Date: 5 ��G .Fair market value of all labor and materials foundation to finish D Initials: Tj� G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • • SHORELINE SETBACK EVALUATION APPLICANT : -q6.,; _��,r Z� 9 " ° ADDRESS ‘://‘ � 'i�' �� " * '" j1. J j 14 ! TELEPHONE: (home)5i4C°?P'• /` 7 (business ) PROPERTY DESCRIPTION PROPERTY SITE NUMBBER: �L�li O O Z - l 2 - O 1 I LEGAL: -3 . KL IU� 64-e NtJ OF'r'<,L SLA t • S 1 (t Owner: FeL tAJ covzi Dr2/ f Address: _550R,VetV . . 7? / Tax Parcel Number: ry 1zzd C I, 0 / 61 "i'Y Real Property Description: ADJACENT WATER BODY: EVALUATION BLUFF HEIGHT: / 47 0 SOURCE: BLUFF STABILITY: SOURCE: ❑ STANDARD SETBACK: feet This minimum setback shall be measured from the ordinary high water mark to the most waterward edge of the proposed structure . ❑ BLUFF SETBACK: feet This minimum setback shall be measured from the bank' s edge to the most waterward edge of the proposed structure. • / AVERAGE SETBACK: 70 feet This minimum setback shall be measured from the bank' s edge to the most waterward edge of the proposed structure . This setback is based on the following calculations of adjacent residential structures . __:‘,> Right House (facing waterward) : / • Setback from bank or ordinary high water : ! A2 . feet X, • Distance to the proposed structure: feet Left House (facing waterward) : / • Setback from bank or ordinary high water : feet g • Distance to the proposed structure : feet ❑ SUBDIVISION SETBACK: feet This minimum setback shall be measured from: This setback was established by the approval and filing of the plat . VARIANCE REQUEST: ❑ APPROVED ❑ DENIED DATE: ACKNOWLEDGEMENT, The above evaluation was determined on information provided by the applicant. Should any of this information be found inaccurate, the setback requirement may be re-evaluated. V/677-0 . tanner \ (date Pnor toFialInpe d' � SEP zoN '04 a s1°Y h log c'rc—f SI o z.. i,.)Q Ca-r, DO Cu)1 S►Cr) Ea a.Dv Pao YL -. I.J l t l }'rs n CI 1 Y1 ‘PCL.OS+-i G(2 G f'lcly Yl ` \ c� l�.i-hc�rlZ t t2 ko 11r4&nDLE h�; G l,-s SI�c ejtj')n1-,r-- l5 t CI O-- *D S Lyn VG-\-"'(. -1/{t- 5 ! ) l�Qv4Sycm ) r13 l P D 4t/\,