HomeMy WebLinkAboutBLD2009-00374 Jefferson County Building Lesion Permit Nu•r: BLD09-00374
Applicant: MAYS
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that 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
Under Floor Framing 11 % ib
Ext. Shear Wall Nailing
Rough-in Plumbing /a -a3 I l6T
Framing rota,4 G !" C l ( — e
Airseal (^)-,)3-f 74 UI I/ I tR t,-t_ q.r C � -CA
Wallboard Nailing y-21774
j(,/�,'I� _ t•'p A is F,.ex I
L t I4 r ) �l
or y4/471-
FINAL INSPECTION �h�/�/ (
t
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD09-00374
1.) SEP08-125 (a tank only) must receive final approval prior to final approval of this building
permit.
•50N C,O •
�w 6 JEFFERSON COUNTY
W ' �1q DEPARTMENT OF COMMUNITY DEVELOPMENT
'' 04 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�' 0 www.co.jefferson.wa.us/commdevelopment
Is,
Master Permit Application MLA: ' MA. Qe 1 S
Project Description(include separate heets as necessary):
/bD Sy -c# kX r rbrA 41, &f 5)vy6, `x - DLtu+ WL diet I-a(
Tax Parcel Number: L- r—,( J Property Size: 2. . S AC . " acres/�� {UQC� � p Y ( squ re feet)
Site Address and/or Directions to Property:
51 • ra:�J C fee.1L kF11>! ,
Property Owner(s)of Record: -,T= .. tl > n n /'l�),q v�s -
Telephone: Sic-' `I?? - 3 �O Fax: email:
Mailing Address: 5 l • Snc,,i (TpcL,- W P it
Applicant/Agent(if different from owner): 4 -i ,r i,, r-Y1p g1L)
Telephone: ) - it 7-i 3S ,) Fax: email:
Mailing Address: S i L • S-tG,t..> e€ElC WA Li
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
leuilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
ES Single Family ❑ Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home .0 Modular - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
❑ Propane 0 Long Plat**
❑ Sign - 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
0 Forest Practices Act/Release of Six-Year Moratorium 0 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 \ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE �" 1 1 Lam,. 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 re uire lat r inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the a ion t at a or she wants prior notice.
P �
Signature: Date: 1/ / 0
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 Ay are i mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transff is I 'r sp sibility for adhering to and complying with the ESA. The Applicant has read this disclaimes and signs and dates it below.
Signature: t Date: / (" 7 - .
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
! •
BUILDER STATEMENT
The signer of thi statement d s hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ss ing the res si ility of the General Contractor for the proposed project.
Signature: Date: i( - 4-
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:
❑ New ❑ Wood Existing: ❑ Sewer
X Addition ❑ Steel Proposed: ` Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: _i Height: 4 Individual System
❑ Repair ❑ Masonry (' r, SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: Public
Total:jeCi 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 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 / 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 For Office Use Only Amount Revision
Main Floor Heated 1(/Q0 { ` t�-`11 L EH Bid App Review:
f9Ca 113
2nd Floor Heated Consistency Review:
Other Heated Base fee: 9 ll 33
Mezzanine Additional Section: . (__---�
Heated Basement Plan Check fee: I D I
Unheated Basement State Surcharge fee: j-/
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL 42_1 --7c,
Decks 911/Rd Approach fee:
2 (3T7 KC
Other TOTAL: $ 4_3/1_ '7 KC-
Receipt Number: M
�
Cash/Check Number: j
ESTIMATED COST(REQUIRED) Date: 'I ' _0•Fair market value of all labor and materials foundation to finish _—`
Initials: —
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
0
oIVaz o D c@ EI
magi _, a
vamy
r,.... a s . .n N ziD D It
=T' e• .G,i" N m - ti CM
_,.,, e► a • m Ti -u F m
C� m o ; a ° o o � 73
Cott p a _D '4
0
= ,:t.) 5* o ' 3 a mm < m O Q
o. ; p p Z
• a T
c-x d o v01 < " co r`" n
' o o,'a 13 0 z cn D O
D� 0 -O OWD � Z
- c to �. m 3 m -f
� 3x p 1— < -C
=2 WOE
C ) of ,�.a m my
cI a 3 3 0 s 0? c c 13
Z to
r
O
0
-o
z
.4.�p.,_......__.___.._........._...._.....___._ '___....
C
0
0
_ s
(..) 1
v
O C- ��
•"t 1
CD 1. o
c)
v `.....<`.....< 0 0
O 4:..
v:
F.
.
1 C
'r ._ . ,
z_,.., .,. . am f
m f
... ,,
, ,„
i, _ ..,
_ . ... . .0 1 \ .
•r o
ti
1V 5 m
_ .........._ ......_ ,, 7( \ m [
rm
0 B x
9
% m $ I iA �)�'�sr.
mZ SO al
` LiO
FiT,_,H - i !!L7'G)
274 A 71 T . °
In :17\'L..
c.4j
:e 1? 9,, TtIIIII_ CD
^ //
38'
AND SHALL REMAIN,THE PROPERTY OF KIRK BOIKE,ARCHITECT. DOCUMENTS SHALL BE O cm
-A D ,, USED FOR THE CONSTRUCTION OF ONE DWELLING ONLY. ADDITIONAL USES OF THESE P. O
'T1 Z pip . DOCUMENTS IS FORBIDDEN WITH OUT THE ARCHITECTS WRITTEN APPROVAL. WRITTEN cr.
O D 7
r Q = Z • DIMENSIONS ON THIS DRAWING SHALL HAVE PRECEDENCE OVER SCALED DIMENSIONS. 03< Co cl 7r
O < �� m CONTRACTOR SHALL VERIFY ALL DIMENSIONS, CONDITIONS, ETC, PERTAINING TO THE rn N 8 m OW
U Z 33 NO m .- IT1 WORK BEFORE PROCEEDING. THE ARCHITECT MUST BE NOTIFIED OF ANY VARIATIONS Co 6
FROM THE DIMENSIONS AND/OR CONDITIONS SHOWN ON THESE DRAWINGS. ANY SUCH ..03 CD
CO VARIATION SHALL BE RESOLVED BY THIS OFFICE PRIOR TO PROCEEDING WITH THE WORK OR N
THE CONTRACTOR SHALL ACCEPT FULL RESPONSIBILITY FOR COST TO RECTIFY SAME. y;fl
\
i-- ,. .._ -pl
`..s. .
TCr,
1> .
'Q d
2- g
, vs, 0
c ‹-
fri
(1-1
<-• Q L\
— ,7-1 9 r- ;•=2. Ig'N),_1 1
P') 31--x_
TO D 1-
. 16
• .L.
,1.›
' !
i:_rl
N 1[23
,IN
1°1
.. Id • -,
?- (n
6 1
, .
q 7_ •••./.?Z.,,,,.' '
, i sur
ki ,,,,, i , \.,:**(:\I ri: .N.0!:• _ ,
1 ?.4ir/;:z - •
. --k
,, 0.. ...A
( i A
.30 / FIELD LAJE
6.)- -i
---.L (4 0 r•
(..-N 0 wA v . .,/,70.,.i_ .....„.
G li
1 ..• t 1 4' //
// K 3
R T-- -,
, •
, !Tr
. T -i.
—Z-1 N„ 6 //\—% r-,
7-4-
•
, .
7C1
D c-A. rTi
?*'1- -')4 r \ ud
,
IT)
__, ti, •
7
(7 r.
g . ,
. .
/ / I
c? I
1
G"---
Y<II Fj 0 1 7d r- X
T z-
.4'7' Cil "' § '•- •' 8v --
13 CI-
U S i
r d
.3- A-), (‘
m
[ qf
V - .
0 0
r-r1
=7 tt
.1 (7'7 f‘ rio t-,::::•z c.., (—)
c=s
-A. .
o
II 17:-
C.
',.— •k tt
c---•
1•) M ,51 tr?tt c:=) tj
00
tr's
\ \
(of IN1/1
" ._ ..._............ \
—
v"1 1
--Li
-, !
..ii
VI 1p
.
UN) A 1/ 1.)
(/' II
rd 0 . 0.0000.0
, 4 a T4
r \.• .
' ''.c. -N\ t _ 1---1 •
i ,-,.., ; 4.. ..,,,_14 I,
fi i • '1
c,-- 4N _2)
eS... .6
C... 0.
X .....,0 N 7. `L.'. .0
• 5_,
it z • VJ --r( ' 0
/// 17-• a I
/ /).,,
.. .2q.
cit NJ .xl ft.: • txxs2effc, d
1,
t r , 7v) 1
4„.
o
/I/
P co
T F,,
,,,' 2f (Ai 3
tPr 4"
, v v
, t 1 t, Uki
• , , . ,. (Y.'''.-76 • 'i!...... '
. ... .
, (T) 1 - N)
. 46-rhi,* " — 4
.., <
; /
. V iri
0)...c._
. pc
. , i f' i
•
••, .
. .
, .
...,..""
r. ....-- i
--T—' _
.0 ‘ i
E " .
ST-
N. \
-CA i, -`k • C-)1
•\ :9,.vs
rn •x
r VI • cnt cri 1 4. ,0113)
, .10, %.1Z1 ....)...., . 11,1'.Fr ,,,• ••4''it
:,) •••. \ Z'
—T..,
k ......... CZ::
Ar:. ..-.
,.. .6
1:=3
-
....,..- \ 1--Ilium... i
I
i
,J !