HomeMy WebLinkAboutBLD2008-00291 THIS BUILDING IS
NOT FINALED .
THIS IS AN INCOMPLETE
BUILDING APPLICATION . THE
PERMIT WAS NEVER ISSUED .
UILDING PERMITAPPLICA PON MLA08-00321
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00291 Received Date: 6/30/2008
SITE ADDRESS: 124 HOOD HEAD
PORT LUDLOW, 98365
OWNER: MICHAEL F ADAMS PHONE: 360-821-1361
MARY ADAMS
PO BOX 65223
PORT LUDLOW WA 983650223 SEVEN SISTERS BEACH
SUBDIVISION: Block: Lot: 124
PARCEL NUMBER: 994000068 Section: 25 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 961
VALUATION 109,086.00 ADD'L: 471 HEAT TYPE: WOD
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 358 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 1
Total: 2 Total: 1
Routing Date: 00
-1 I l Orb
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,049.75 AMS 06/30/08 100449
Plan Check $682.34 AMS 06/30/08 100449
State Building Code $4.50 AMS 06/30/08 100449
Potable Water Application $59.00 AMS 06/30/08 100449
Total: $1,795.59
•
,insre,O1V car,; JEFFERSON COUNTY
�!�' DEPARTMENT OF COMMUNITY DEVELOPMENT JUN 3 V 2008
"`�i 621 Sheridan Street• Port Townsend •Washington 98368
4. 360/379 4450• 360/379-4451 Fax
•�jS�N��Q www.co.jefferson.wa.us/commdevelopment AF([f1J4N COUNTY OLD
Master Permit Application MLA: - .-- \
Project Description(include separate sheets as necessary):Adams'Single Familiy Residence located at 124 Hood Head
Tax Parcel 994000068 Property
Number: Size: 4.04 acres (acres/square feet)
Site Address and/or Directions to Property: 124 Hood Head, Port Ludlow, WA 98365
Property Owner(s)of Record: Michael F.Adams&Mary L.Adams
Telephone:(206)271-0173 or(206)842-3923 Fax: (360)343-0285 email: info@mfadams.com
Mailing Address: PO Box 65223,Pon Ludlow,WA 05365
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
VBuilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]"'*
p Single Family ❑Garage Attached/Detached 0 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 0 Long Plat**
IPl ropane ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 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)* ❑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 Vegetaion 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 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 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. taffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli&tion that he or-shewa F. p •r notice.—
Signature: ' '_ '_' \.„ -- ,. Date: 610Z 1 I 2.-c3 0 f
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)eY1-1LyQu„are in compliance with'tfle Jeffe G3unt5x development code.The Applicant acknowledges that he,she or it holds individual
and nonnon-trarigferable re nsibilit-fo erig to a d complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: - Date: 1C IZ-� (Zo`" D
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
0 I
BUILDER STATEMENT
The signer of this statement does hereby ce tfy that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibJity of Ole n ral Contra for for the proposed project..
c" .. .. _ C" Date: `Z.7 f Zeic;
Signature: Z---� ,
GENERAL 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:
el New ❑ Wood Existing: 0 ❑ Sewer
❑ Addition ❑ Steel Proposed: i Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: i Height: H Individual System
❑ Repair ❑ Masonry SEP Permit#SEPO8-00097
❑ Demolition G Other:SlP Bedrooms: Water Supply:
Existing: 0 Setback: V Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: 2 Wood(Tulikivi fireplace) 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:
❑Underground Tank 0 Above ground Tank Size of Propane Tank: (2)100 lb Dor tanks=45 gallons
❑Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Tankless water heater
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 0 961 6�'�5�.� EH Bld App Review: 'I D (-)0
2"d Floor Heated 0 471 3aabc%— Consistency Review: 15—I. oo
Other Heated Base fee:
O 0 1 Odq•15
Mezzanine Additional Section:
O 0
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: O
O 0 A
Other Unheated Pot Water Review fee:
O 0 ckb .cc,
Garage/Carport SUBTOTAL a �6,�
O 0
Decks rj� it 911/Rd Approach fee:
.x
0 358 q c�`t'
Other 0 0 TOTAL: $a W 8 .59
Receipt Number: lac�tq(Ll
961 Cash/Check Number: Z-- 1
ESTIMATED COST(REQUIRED) Date: (4�
.Fair market value of all labor and materials found ' o ,)`nish-- If' V
4 83 r ka°U !II OS(p•It Initials: 04-0
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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