HomeMy WebLinkAboutBLD2011-00234 THIS BUILDING IS NOT
FINAL ED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY .
Ordinance No. 12-1203-12.
"Pursuant to this Ordinance, effective January 1, 2013, if your permit is less than five years old, additional renewals may
be approved at the current annual renewal rate. If your permit is older than five years from the date of issuance, in order
to be considered for an extension, you must submit a request in writing to the building official and must provide a
justifiable cause for an extension. Payment of all accrued renewal fees is required prior to approval of an extension."
R105.5 Expiration.
Every permit issued shall become invalid unless the work authorized by such permit is commenced within 180
days after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of 180
days after the time the work is commenced. The building official is authorized to grant, in writing, one or more
extensions of time. for periods not more than 180 days each. The extension shall be requested in writing and
justifiable cause demonstrated.
R105.6 Suspension or revocation.
The building official is authorized to suspend or revoke a permit issued under the provisions of this code
wherever the permit is issued in error or on the basis of incorrect, inaccurate or incomplete information, or in
violation of any ordinance or regulation or any of the provisions of this code.
Jefferson County Building Div Ion Permit Number: tiLU11-UULU4
Applic• ENTRUST ADMINISTRATION INC
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Codes
i
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
Setbacks
Erosion Control
Foundation Footing
Footing Drains
Foundation Stem Wall
Straps(hold downs)
Ext.Shear Wall Nailing
Rough-in Plumbing
Framing
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•UILDING PERMIT APPLICAN Review Types)
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00234 Received Date: 8/17/2011
SITE ADDRESS: 102 CLEVELAND ST
PORT HADLOCK, 98339
OWNER: ENTRUST ADMINISTRATION INC PHONE: 360--808-0044
FBO STEPHEN E OLIVER
555 12TH ST STE 1250
OAKLAND CA 94607-4095 IRONDALE AC TRACTS
SUBDIVISION: Block: Lot: 86-87
PARCEL NUMBER: 962700097 Section: 7 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: STEPHEN OLIVER PHONE: 360-808-0044
92 CLEVELAND ST
PORT HADLOCK WA 98339
PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 23,500.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 748
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
C`
Routing Date:
c 1-1— I t
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $377.25 LYK 08/17/11 128034
Plan Check $245.21 LYK 08/17/11 128034
State Building Code $4.50 LYK 08/17/11 128034 /\IDIDF4QJEr
q
Total: $626.96 NOV 1
Jefferson County rlaiflnt
&Buth nO
• •
CONDITIONS for Building Permit# :BLD11-00234
1.) See BLD11-00233 for conditions that apply to this project and property.
<?:: ON co( -
d JEFFERSO UNTY
'- • nst
j DEPARTMENT OF COMMUNITY DEVELOPMENT
'w ` '4 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
��
biIN p� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1-1 O pp
7
Project Description(include separate sheets as necessary): •
Qd. 6.4/,q.e• —u- h-I-d 1 no PI mE
Tax Parcel Number: eMo2 700 —67Cr7 Property Size: , V geees -f- (acres/square feet)
Site Address and/or Directions to Property: • "..1,,, ri/ St
l0 2 y".....L LStt. ca,f- (-( Q loc)e— t-r)c Cl f375
Property Owner(s)of Record:
Telephone: Fax: email:
Mailing Address:
Applicant/Agent(if different from owner): Step 4`, Di.:..c./-
Telephone: ._?O gO?-Oo trey Fax: -- email:,to O/.:rr- ,
Mailing Address: 5R C/.wG/...-.�Sf- S4.-+•f" Ne (J_- 1,.r4 fil,5 '/'M ,•.'^.,,'" .co`•"�
at kind of Permit?(Check each box that applies ❑ Lot or Road Segregation
ilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance (Minor, Major or Reasonable Economic Use)
❑ 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 �/] (� I1 L mg Plat**
❑Sign I rE C 2 0 V I- 1'1Planned I-kurai Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consisten !E C Plat Vacation/Alteration**
❑ Stormwater Management � C Shoreline Master Program Exemption/Permit Revisions**
0 Site Plan Approval Advance rpinat)gn(SPMD)*, C Shoreline Management Substantial Development**
0 Temporary Use Shoreline Management Variance
❑Wireless Telecommunicationj Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Si 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre-Application C f ) COUNTY 0 Tree Vegetation Request
DEPT.T.OF C MMUNITY DEVELOPMENT **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 Irv"-, t�/_-* to act as m a ent in matters relating to this application for permit(s).
OWNER SIGNATURE _ r'� I-3(4, -a B1"3 ( i,4,7 pte: /s' l(
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 a an fight of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he w otice.
4 Signature: `'-\—.. - Date: S7//_r:///
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 complia he Jefferson C ev opment code.The Applicant acknowledges that he,she or it holds individual
and non-transferable res • i it 'ng to at plying wi the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: —` - Date: /..5" /i
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BUILDER STATEMENT
The signer of this statement does hereby ce . hat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the - ions'' ity e General Contractor for the proposed project.
Signature: Date: //b//
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: Fame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: ❑ Sewer
❑ Addition Steel Proposed: A//' Bank ❑ Community System
Alteration/Remodel ❑ Concrete Total: _ Height: / X Individual System
O Repair ❑ Masonry �r —20 SEP Permit# _
L Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 9 Private well 0 Two Party
Type of Heat: Proposed: /O i / /Public
AGopfro„ p Total: 2e Name q�,Syem:
-.IIf 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:
1 Heat Stove i Cook Stove 1 Woodstove i Fireplace Insert i Hot Water Tank 1 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 7 y� Zc $a EH Bld App Review: ` , \ S
FR-
2nd Floor Heated Consistency Review: WI
SFV—
Other Heated Base fee:
3-17.2s
Mezzanine TM
wI SFE
Heated Basement Plan Check fee: 2.4-1✓� 2
Unheated Basement State Surcharge fee: , ,so
Pot Water Review fee:
Other Unheated n,,,.�
Garage/Carport SUBTOTAL f VIJ
(pa, .qCp
Decks 911/Rd Approach fee:
Other TOTAL: $(DG( Ci
ectSTIvbass
Receipt Number: I sn3(4
Cash/Check Number: �lJ
ESTIMATED COST(REQUIRED) �,3� ,s'OC' Date: _ _
.Fair market value of all labor and materiar foundation to finish
Initials: �_
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g2 i Q o c Sheet Contents: Project Title:
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MAIN STEVE o ` o , OUVERI. CXAR
N N O FLOOR 102 CLEVELAND __..`. H 0 M E S ............
PLAN PORT HADLOCK, WA 98339
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1213 LONG RD., CENTRALIA, WA. 98531
(360) 807-1849
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o V TITLE: DRAINAGE AND EROSION CO =''OG' °LAW'FOR'SIEVE IVER, JEFFERSON CO, WA
S�STD z z >
PN 962-700-097
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WA 115362
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PORT HADLOCK, WA 98339 INCORPORATED Dim.: zatowcatmovtc.rwT