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Home My WebLink AboutBLD2011-00260 THIS BUILDING IS NOT FINALED . THIS IS AN INCOMPLETE BUILDING APPLICATION . THE PERMIT WAS NEVER ISSUED . •UILDING PERMIT APPLICA4N LA11 0 0205 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00260 Received Date: 9/21/2011 SITE ADDRESS: 33 CAPE GEORGE WYE PORT TOWNSEND, 98368 OWNER: CAPE GEORGE WYE LLC PHONE: 360-301-2831 3723 SAN JUAN AVE PORT TOWNSEND WA 98368-3305 SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 001073001 Section: 7 Township: 30 N Range: 01 W CONTRACTOR: TIMBER AND IRON ERECTORS LLC PHONE: 360-670-6227 Tiered DAVID RICHARDSON PO BOX 516 CARLSBORG WA 98324 Contractor's License TIMBEIE905OT Expires 9/30/2012 REPRESENTATIVE: TIMBER AND IRON ERECTORS LLC PHONE: 360-670-6227 DAVID RICHARDSON Tierectors @hotmail.com PO BOX 516 PROJECT DESCRIPTIOP NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 23,101.00 CODE EDITION: 2009 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: SHORELINE: GARAGE: 864 CONST TYPE: SETBACK: DECK. BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 0 Routing Date: --- > q-0i--t i Type Amount Paid By: Date: Receipt: Approved/Date Permit $293.25 LYK 09/21/11 128151 Plan Check $190.61 LYK 09/21/11 128151 State Building Code $4.50 LYK 09/21/11 128151 Total: $488.36 N C. w O r7d� JEFFERSO4UNTY illik DEPARTMENT OF COMMUNITY DEVELOPMENT ti 621 Sheridan Street • Port Townsend • Washington 98368 ' 360/379-4450 • 360/379-4451 Fax w AO�p ww.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: j " —7 Project Description(include l�separate sheets as necessary):, L �1`� I 2V31/5/7,45e / /// twn v}&,, to PtnAPj (44•Sac77ilr rl t dm/.4 Tax Parcel Number: 00 I O77 ( Property Size: 7 4C . (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of -ecord: EH k IUNbS frn • Telephone: 7`A 301 Ziff Fax: i email: C i�II� I I4'r, 'w.. �I lq..rI Mailing Address: 7723 £14 TG.w4 k Applicant/Agent(if different from owner): •• c- jjAfi'S 9 4) Telephone:3lo0 ^�O ?L-. (p )v--,-7 Fax:,76Q (P"' 7 email:VGfi!(��G- G" �t'lltilF oe1 yvl Mailing Address: Pa(36P(.5-4 &4 G<L /36A re,/ d( Y What kind of Permit?(Check each box that applies ❑Lot or Road Segregation giBuilding ❑Critical Areas Stewardship Plan El Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ,Ef Garage Attached./Detached ❑Conditional Use[C(a V. , ❑ Manufactured Home .❑ Modular 17 Discretionary"D"or . 4410 V rE❑ Commercial* ❑Special Use(Essenti•.I • bllc -.r - ❑ Change of Use ❑ Boundary Line Adjus m,nt ❑ Address El Road Approach ❑Short Plat** • ❑ Home Business ❑ Cottage Industry El Binding Site Plan** ' i `? P 2 I ❑ Propane ❑ Long Plat*' Li L i El Sign -- ` ' El Planned Rural Resid-ntial i-•- - ---- . ._•id s** • ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Altera on" ' ti COUNI nror ❑ Stormwater Management ❑Shoreline Master Program'Eis 13°e f 4IS*i ** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** .0 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 **R-•Mires a Pre-A••licafion Conference ease ti e i any O Of oc a n a , S-a a Or e•era permi require. or t is proposal, if known: d, J / I DESIGNATION OF AGENT I hereby designate Lve I�r c_ ./Zia , 1�in!•i... T.e.p to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: T//4,./if 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 attorneys 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica' n that h o•she wants prior notice. Signature' Date: /.f 1741 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-transferalye res onsi 'lily for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: T�T 71 / Gi\PermitCenter\###FORMS###\DRD FORMS\Currcnt DRD Forms\Master Permit Annrmafinn SAO-ng.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 assum' g the rreJsppoonsib�lity of the General Contractor for the proposed project. Signature: e_,e' Date: 7:.L7/i/ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: +�c3rr rwcInol✓ a��R+ ��Tgod A LL (�ys�,e4$f d-61- X7 . 0) k$3 -7117 MAILING ADDRESS: PO et),)k cS �(e �n RLs AC/ iUA LX3�i"C4AlL: .- EIS l✓ 4l pv�-``' i.1./lsirL-J- ' N1 CONTRACTOR'S LICENSE _,� •� r7 WAINS NUMBER: a 't f t'1 F �.-70$' '•` ' ' 'NUMBER ARCHITECT/ENGINEER: ,, PHONE C 1. , , FAX:( ) . , MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: jar New 13 Wood Existing: •• ` •t s 'd'Sewer ' `• ❑ Addition ❑ Steel Proposed: ,.,:nn Bane«. ❑ Community System ❑ Altrat(ontRgntode4,,g ,: .0 ,Concrete Total: U. Height. - Individual System O Repair ❑ Masonry SEP,Permit# ❑ Demolition 0 Other: . Bedrooms: • y ''' Water Supply: Existing: ,_. Setback: g,Private well ❑ Two Party Type of Heat: Proposed: �/ 0 Public -nnt a— Total: Or 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 1 Cook Stove I Woodstove- 1.Fireplace Insert I Hot Water Tank 1 'Pellet Stove 1 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, includin• the reserve area. ?'- i r'-13 7.s . ° 4 '3�` , • ° 1 YC-3's^ k i�7.1-7..7:w ,, S•Uare Foots•e Current Pro•osed • lice 1 v;®L. - .;-"k: F a i. :',.- �, `:. :, .a 'a,.,-, '��' 1-r17,_:.d.�y .... `'`A Main Floor Heated F tKi < m EH Bld App Review: • ".,fl • 2' Floor Heated s.a i Consistency Review: rte€ - Other 'ea e. .. -- wain Mezzanine �`• ., Additional Section: Heated Basement <�,.1 Plan Check fee ' A' ' 't' Unheated Basement . ' s, State Surcharge fee: . Other Unheated �T�M' �- , Pot Water Review fee: , a. Garage/Carport • ' SUBTOTAL f 774 Decks p,, , ,4,a�, 911/Rd Approach fee Other „, TOTAL =AM . --s• �r Receipt Number: Iar • Cash/Check Number:. . ESTIMATED COST(REQUIRED) Date: . /'' -( 'Fair market value of all labor and rnatenels foundation to finish Ct a(f_ ” Initials: - ---- G:\PemutCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • • 36' - 12' i 12' 12 6x63068 ( x ( E. ) (,~6x6 4x6 \ _./ N U rn j N / NOTE: ALL POSTS ARE 12' PT 6x8 #2 HEM FIR, UNLESS NOTED OTHERWISE EMBED ALL 4x o IN 12"0, 2'-O" DEEP 0 0 _ CpiraCi2-- SCSJ \ .1.1 2 o X M4) 11"(5 \ N 4" CONCRETE SLAB //'-' ON GRADE. SMOOTH TROWEL FINISH 12 tj� I: J ` � , sxs 6x6` 2 DETAIL 1/S3 TYP .I. SEP212011 f.1.7, ON C OUN TY Incalf.232JEFFEroRso NITY DE VELOPMENT luad-of\ ' (' ) 1 7 N5\- s,,,,a076 Cy,ma r "..•.‘'..---\\N...47 3-------. ra 1 N Q 4. T A 4 \\\\>4.- --..� q ta- �, > A0.— --34'. xa ,,.;f w ::,.....1 .. 1 -...,\J \\'''' , ,, i:: !, . % . ..) ....... i :3;. • , .:::,... _._ ,... , ____-- ____________ 4.c.,.. .„_____ __ .t. _ j _ __ O 1' L laqi l 71 .F z Dz, l+ 4 g iffl Tzz:: ._.., O O Cr-,„ w . ..2 1 N MI a.