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HomeMy WebLinkAboutBLD2012-00106 'BUILDING PERMIT APPLICA; N Review 00068 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00106 Received Date: 3/29/2012 SITE ADDRESS: 91 BALDWIN RD NORDLAND, 98358 OWNER: MARC MAUNEY TRUSTEE PHONE: 360-385-5032 LYNNE ROGERSON TRUSTEE 2133 OAK BAY RD PORT HADLOCK WA 98339-9778 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 921094026 Section: 9 Township: 29 N Range: 01 E CONTRACTOR: BROCKMAN BUILDERS INC PHONE: (360)638-1125 33165 HOFFMAN RD NE KINGSTON WA 98346 Contractor's License BROCKB1961ON Expires 9/15/2012 REPRESENTATIVE: TERRY MCHUGH PHONE: (360) 379-4570 P 0 BOX 441 360-385-4196 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr STAIRS TO THE BEACH TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 5,600.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 --Total: 0 Routing -7� -1Z Type ----Amount Paid By: Date: Receipt: ' Approved/Date Permit $125.25 LYK 03/29/12 131291 Plan Check $81.41 LYK 03/29/12 131291 . P ROV ., State Building Code $4.50 LYK 03/29/12 131291 Total: $211.16 ,Jefferson County DCD 0°` JEFFERSON COUNTY j DEPARTMENT OF COMMUNITY DEVELOPMENT Date: '1 Time Received: 1 L,,j al pm Mon. e/ Wed. Thur. Fri. Date: ' — 10 BLD: 1 2- ( 0(42 Contact Name: Owner: Contact Number: 360 2 1 Lt-($2- Address: q ( 1342`,)u::,I-i 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling �, •l JEFFERSON COUNTY #120 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: Time Received: L. am/pm Mon. Tue. ed Th r. Fri. Date: 116 BLD: , 2,,, , , Contact Name: Owner: i Contact Number: 360 ' Address: , .. » 206 "... . �n Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile N)a g 1:1_ & Ciks its r — • • AN.A.-,■3 t,)vi_Vka(5,-- ER.SOU .5.--c140 IL.,,._ f 5.- 11—' 0 V 1 ,' MAR 29 2012 I 11 _ - 1 J.) Li Ls' I i JEFFERSON COUNTY PITT OF COMMUNITY DrVM OPMENT [ ---- -----„ -----__ 0 - . —.......„..,---- -...;..;/- .....•■•••O■••■••,,....,...t.„..„....,.........., ,g) 7 ,. ....),. \, . . A,127\ o \\\ 7: \/ - \,. V' \‘'\ r . JEFFERSON COUNTY DCD . BUILDING PLAN REVIEW Contact the Building Department 1 /APPROVED AS SUBMITTED at 379-4450 prior to ma-kin1 changes or revisions to the approved plans 0 APPROVED AS NOTED IVOT/Cf:_ Plans are approved exce,W3ro3 0 REJECTED any errorn cr ornl.s.slorts. Ail wcrk immat pilaS irit!rnl.ction in cc riformance with ali applicable codes and regulations. Date±-1ALReviewer On6' . .... i / /11 .0,,, i...t --71; -3 • LT) Z NS 11- 1-1.1 0- ...j, Nri .I „ '..).f ,.., : , Lt z >. = L.--' , At=am. ' - I---, ,:::, i I-. ., -, • _,• .........73............,.. .,■, 0 r.==3 (...) r .... 0...., i ill (..... , .., 00 -- J1 ', ii 1i ' ; a cc VI, I 1 i f 1 i - .t..t) 0. I V\ . I I ..:-.1 L.L.1 •• I i """ . %..- 0 X . ,. -..-.1.......4 i_.0 C-2 • X :.=.3.., --L ;,,.. --, . j 1 I rs. W r---, 4-1.__ . . . ----""---Th :Li ..//7/ / / / . — / -,r- ..,.. / :--- r/ if ..--, e,:j, i i ". 1 ./i ..••1 ,/ / i 1.: i,,,,./. /.." p_ 47 ,..- ...,". S ti/•••-; ,_- t? _.„...- .,----- -,i -7'• -'• I ."/ :' . // '---,.., / I _' I :,,• ,` s q../ i," i.— --...... ...! 4." i / i• .7 .- .......7‘,"...,- -I- .r. i; ... ..- . i ..ks./..4-•". / ; ii,r49 — ..r.- -..- .1 i .:- ......3>-......0 ‘ I- .11( 1..• c -‘,11-1....... ■-il..4.: I :.I I ■ it 1 _, • . I ;Is t-.4„......\ „. 4.L. ...\ , : ... ' ----- 1'. , , 1 i II t ;41 .11. 2 .1. I - _ _ 1 ._____,........„..„_.... -'I t I I I il Z._.. 1 1 i I Itil ?, ! • .- ___411.0.411alb,r.,2021■121111110112 '...\ i MLA#12-68 0 EXHIBIT FOR: MA UNE Y/-�0 GER S OI�T T UST IN SECTION 9, TOWNSHIP 29 NORTH, RANGE 1 EAST, W.M., 4 '\\\\' JEFFERSON COUNTY, WASHINGTON 2 9 �W 0.,°, h QUARTER CORNER U.1,°,, o, FOUND 4"x 4"CONCRETE - oN a MON IN ALUMINUM CASE 2 N (4/09/04) a` N ,^, f". O1 MOEN ROAD O ce CENTER OF SECTION 9 FOUND CONCRETE MONUMENT IN NORTH LINE OF kr 2 ALUMINUM CASE. (1/23/09) THE SE 1/4 O I 3 r 4 FOUND 1 1/2"BRASS CAP WITH PUNCH C IN MONUMENT WELL. (1/23/09) I MONUMENT LIES 509'31'11X 2.79' FROM TRUE 1/76TH CORNER Li EDGE OF CIUVEL ROAD PER FIELD S87'52'44 E Ms 2/20/12. I+'r_'`'`"'4 930' lC+.t l:ftd%✓iti* ±t+poi+art+ 9 a!/ // // /.:�I// 0 883.02' I DISNEY ROAD �7/0� N IN N O t 5 I.—DRAINAGE DITCH o ft b O b 1� Q J .•,( i I"FENCE 20.9'E. \ O N WI.s I3 EDGE OF GRAVEL O IL.5 ROAD PER FIELD hDES 2/20/12. �> q PI 3 N F.'s!, -© SEPTIC DRAINAGE DITCH H ELECTRIC FENCE ENEIS `a.W_I1 ©EPoOU6J /i GOV1 LOT 1 / OF CALCULATED POSITION �a1 PROPANE TANN 1 OF PLASTIC CAP STAMPED: //. \ VOL. 3 PG. 109 / )3.50' A. WOOD PLS 23911 / 1, I EXISTING BUILDING. 5005• Z PER VOLUME 31 OF jii 58T53'32EI /I1 EXISTING WELL ApN 92T O9A026 r PROPOSED \I SURVEYS, PAGE 109. ,r 75.00'�\�I / / Al' L 13 6 DRAINAGE / TOP OF /�\\ EDGE OF ASPHALT DITCH SLOPE \' ROAD PER FIELD \ N JJ�(((�// DES z/zo/12. a ,------.\ / / "‘.‘0//\_\\ \0 LINE OF b 0 i EXISTING \ /7 VEGETATION WELL® I / /. 1. I I DBUILOING \ -P '/ 1 j NOP15kr�/ APPROVED • BARBEDu°j /�L6 D EO 515 ��E� SITE PLAN WIRE FENCE IN /V� SO R�,1N P�' 1 QUARTER CORNER CALCULATED POSITION /13�LINE OF FEB - 5 2014 ' PER VOL. 7 OF SURVEYS, SOP . VEGETATION 9 PAGE 101. AS 4:.-- 54757' �` 16 S87'51'OS E /. - i 1 • UNTY }��/ENT S' la LINE L�+�`. � L l ► i��r��. L2 N48' E 69: �' L3 N53'I8'04E 9, 1' LEGEND: L4 N50'30'31 E -•.36' DENOTES EXISTING GRAVEL DRIVEWAY PER FIELD L5 N50'30'31 E 96.0- 1.,......., :,:i n£s 1/23/09. LB N54'S550 E 62. 3' L7 N51'40'30"E 9'82' DENOTES 20'WIDE EASEMENT ANO RIGHT OF WAY L8 N49'07'14E 6 2--- -' / ® PER DEED RECORDED UNDER AFN 459620. L9 N51'I0'25 E 137.84' L10 N54'16'31 E 52.97' L 11 N50'44'0J E 92.70' L12 N48'48'52"E 74.63' L13 N51'40'48"E 29.57' { F ' + N.T.S. 2100 100 0 200 JUNE 5, 2012 • SCALE IN FEET :L..;::: X 4 sp...WI a z LAND SURVEYING MAPPING ; (.wo)sal-2151 1B DEVELOPMENT CONSULTING r _0F A ra''''''°, 9(29N lE) CONSTRUCTION MANAGEMENT ��_:f ii Ian)am 216 SERy: 01E2909-MAUNEY_SP_BASE-022012 0 0 . . F --f:- , 1 1, i . .:. li 11 1:, !! I: , I ! — !'-i l _ ! J !?!!,,C.! r._!,■'''..!•::-Y , ---- .____________ /\--!--17— Ns --------,!,—....„.......... _ . rec'l zj: c - . . 1 ,,_.. ,... . z OK\--;--- 7-4,e,-- _.... \ . 65_- C3:', ...Ac. ...k.k r . - • • • i . i I. ....L. A., 1 /-*----------- 4-- •.-4: .s.1 -.... ..:4'. )-- L.,---------==..-=--• _ z IA 1_,.., •. _'t a_ ..,1. -\i i IN.. .... L7-- ll • -,, iz,, , ...,_ . I ii i i I ...: • 11: , 1 on — i.,..: ....,;. r} ' 1--' ' i : 1 1 i i 1 i 1 41.4 • '; 1 4,,—;-- 7..s, 1/.1/ i--...; 7,1".. ........- z , i i I'-.1 51141.-.YP I I i'..1 • I., -----. r.---- -------Ni--- : .' ' . 1 ' ;......,., ..,.. - / ..- i ,' • .. / .•.4- :: f ... r .■ / r . .:1 .."' f:::, f / i 1 ,F 7 / 1,‘.." .• / • .."' • N... ...- ..., tit■ ..... ...;I --", .... i _ / ..: -b ..•.- ...----,- — 4— ; \ -..,..- ....,. N,J, <1.... i .1i li 1 I 1. • .1 1% i . •:: 1:1 1 i ' 4 1111:-- f I ( 1 : i :4' IIIII ...r 1 - - - i i i t;;Z .i. 1 t it 1: _____....._,......,, i -----• 1 \ 1 i et9.-cx_v-i-,...ko.i &.) • t e_tecli.-40..s 1 oj c... ,T CONTRACT0 ,"10 0 N (ACE 1 33165- Ht.:, t.':=&V'"30\.) 14 .10 ki S"--:- l t■J6Ig' -1.--#C)&-f L.J4 GI 83Y 4. ViOR'‘FE RFOiliviED AT 3z — - c-tro/t .) 3 S — / i z___------ ."6-- >A a.7- [144 ,4-kit 0 DATE I YOUR WORK ORDER NO. OUR BID NO i DESCRIPTION OF WORK PERFORMED — 0 80 1 4-0 5-1- i61-t X S "to -i-KE 6E:Ac. t-f 2. ALL p.n ev-i-1.7.....,A 1 At--L__s .0 0 ItQF '-' E",4101-€4 F iar-57- ils-" .-/2" 6 .A 4-t r I I 6••/1 .'AE.10 P4 V43 at< ,s-779 00( ,--7s.. , ____.4_1:::. e (a. Pb n--. 3° 9 o. - r3' -' k 1 x tiSs 'Tog 0 f &A-01/4.1 .s t.- ic l _ - 2- -7- -p ___ ME Ogivr'l 0 ' A 1 1-- f2o1- Kt 5 )0 E. rc'ere co po/5_ 4 e c E_ -T-k>ci.L.AAE 5 ,•+-C i o re_ 44- PI wria A-t/1-L MEC IV _ 1 E -Th I e•-'---. ‘ 0 poi r '4- ".1"- `2,11,11 , !IMMI MAR 2 9 I -Territt- 6 , 1 ot-i . o .0 :i L11 , , , IL/ JEFFERSON COUNTY DEPT.OF COMMUNITY OFVFLOPtvlENT - cc r fr./4,a) 130 I c,t6Eve,s 1 0 c____ 1ET-a-4. ...„AWASF".....- Mr, 1111r, All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above work, and was completed in a substantial workmanlike manner for the agreed sum of Dollars($ ) This is a 0 Partial 0 Full invoice due and payable by: Month Day Year in accordance with our 0 Agreement 0 Proposal No. Dated month Day Year at TC8122 CONTRACTORS INVOICE • �wgs0N `oe„ JEFFERSON COUNTY 44 44 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment IfING y Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning 1 Watershed Stewardship Resource Center 1/22/2014 Marc Mauney Lynne Rogerson 2133 Oak bay Rd Port Hadlock WA 98339 Dear Mr. Mauney& Ms. Rogerson, According to our records you applied for a building permit for stairs to the beach on parcel#921094026 on 3/29/2012. Upon review of your application file we show that a request for additional information was sent out to you on 7/20/2012 and we have not received the material needed to complete the permitting process. Jefferson County Code states: 15.05.060 Building permits—Department of community development. (3) Time Limitation for Applications. An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 90 days each. The total time period of such extensions shall not exceed 180 days; provided, that additional time extensions may be granted by the building official based on justifiable cause and written request of the applicant. As of the date of this letter, we have no evidence of activity on this permit application in the time frame indicated above. We strongly encourage you to either fulfill completion of this application so the permit can be issued or withdraw the application. Please be aware that building without required permits will incur significant penalties, as shown on the reverse of this letter. If construction was started without a permit, we strongly encourage you to finish the permit application to avoid additional penalty fees. If we do not receive a response from you by March 31,2014 we will deem the permit abandoned and proceed with closing out the file. Any future work for this project will require a new permit application, and payment of current fees. Please contact our department as soon as possible to arrange for completion or cancellation of your permit application. Sincerely, Mary Blain Permit Technician (360)379-4452 • • C N �o JEFFERSON COUNTY . DEPARTMENT OF COMMUNITY DEV LOPMENT 621 Sheridan Street 1 Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.iefferson.wa.us Building Permits&Inspections/Development Consistency Review!Long Range Planning I Watershed Stewardship Resource Center January 14, 2014 Penalties for work without required permits or inspections Pursuant to the authority granted to the Building Official in Section A109.6 of the 2012 International Building Code, the penalty for commencing any work prior to obtaining required building permits shall be as follows: For commencing work up to one year prior to issuance of required permits; the current standard fee, plus 15% of the current standard fee, as established by the Jefferson County Community Development Department. For commencing work more than one year but less than two years prior to issuance of required permits; the current standard fee, plus 20% of the current standard fee, as established by the Jefferson County Community Development Department. For commencing work more than two years but less than three years prior to issuance of required permits, the current standard fee, plus 30% of the current standard fee, as established by the Jefferson County Community Development Department. For commencing work more than three years but less than four years prior to issuance of required permits; the current standard fee, plus 40% of the current standard fee, as established by the Jefferson County Community Development Department. For commencing work more than four years but less than five years prior to issuance of required permits, the current standard fee, plus 50% of the current standard fee, as established by the Jefferson County Community Development Department. For commencing work more than five but less than six years prior to issuance of required permits, the current standard fee, plus 60% of the current standard fee, as established by the Jefferson County Community Development Department. For commencing work six or more years prior to issuance of required permits; the current standard fee, plus 75% of the current standard fee, as established by the Jefferson County Community Development Department. The penalty for commencing any work prior to obtaining required building inspections may include an immediate stop-work order and other measures as determined necessary by the Building Official, pursuant to Jefferson County Code Chapter 18.50. Or OW >o Carl Smith Community Development Director and Building Official Page 2 soN c ,��`;' O JEFFERSON COUNTY ' �"i `� DEPARTMENT OF COMMUNITY DEVELOPMENT 4\ , 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax /89471400 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: ` --(40 S Project Description(include separate sheets as necessary): S.r-Pt;r ) ae0.0-mil Tax Parcel Number: %1 ' Deli' 0210 Property Size: 34 (acres/s et) Site Address and/or Directions to Property: Df3/10¢d + 3.,Idvj 2-d. M,afrrow34-oA9 s5• Property Owner(s)of Record: M kV+ ei ( X0821 SO/3 Te'')ST Telephone: 385 -S 0 3 2 Fax: email: Mailing Address: 2t 33 00 4. Biel i2.d1• ?o•-T 14-1 Leck 9-- • Applicant/Agent(if different from owner): "T'{ it f tA Mt 1,440.1- Telephone: 3?Q— 4570() Fax: ) 385 '• M\q(e email: �-wt(l,4 taD Ot t YI•(AM Mailing Address: What kind of Permit?(Check each box that applies yjBuilding ❑Critical Areas Stewardship Plan Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed-Use-Classification ❑ Commercial* ❑Special Use(Essential Pgbliic affifit e u `l i ❑ Change of Use ❑Boundary Line Adju tmeiit i' ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan**I ._ I 1 , ❑Propane ❑Long Plat** ;a A i:, i I 1 I ❑Sign ❑Planned Rural Residential Development(PRRD)/Amen e its** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration*_`. ;i J ❑Stormwater Management oreline Master Pcogram`fxem�tion/PermiLRevision$*' ❑ Site Plan Approval Advance Determination(SPAAD)* _-Shoreline Management Spbstanftat b veio�rit�rlt** ❑Temporary Use ❑Shoreline Management-far dn&2 _ rus r.,1 ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map7Vrnendme t ❑ Forest Practices Act/Release of Six-Year Moratorium ❑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: D IGNATION OF AGENT I hereby designate 4/9r ) 94'J&4 to act as m a•-1 '1 --relating to this application for permit(s). OWNER SIGNATURE dr.. Date: 2-"--t/r 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 i ctions. Staffs ss and right of entry will be assumed unless the applicant informs the ounty in writing at the time of the application th ors ants pri o' e. E:#4? 2q Z., Signature: Date: 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 iance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable re nsibir k for adhe' g t. se• •mplying with the ESA. The Applicant has read this disclai er and igns and dates it below. Signature: . Date: S Lt /r Z G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0 0 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: i';4,-c.c 44c Y '6, '. \A,u�:) ( 3G) 2 ) - Li Lie,2 ) 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 Q"-Wood Existing: n Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height:r ❑ Individual System ❑ Repair 0 Masonry t k, SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Proiect 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 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. : nSquare Footage Current Proposed 'Fo ?ff a 1 , •Amoun' i l eisfon Main Floor Heated - j EH Bld App Review: .ty _ 3 aN_ _ 2`a Floor Heated = Y. Consistency Review: Tt a .+x5 Other Heated R � ;, , ', Base fee: Mezzanine " - f A to a g14-'� Aim vn� it- �51g Heated Basement - r 3-_. an Check fee: I Unheated Basement ` , State Surcharge fee: j4 So Other Unheated Pot Water Review fee: . , i4 �- Garage/Carport i SUBTOTAL q Decks l.kk' 911/Rd Approach fee: ; a TOTAL: $ - I5I . I tp Other e`� ��, �� � - F ' Receipt Number: Cash/Check Number: I 3 I I n. c ' ESTIMATED COST(REQUIRED) Date: �v-�_ .Fair market value of all labor and materials foundation to finish LJ Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc a -I x x fi 0) Cl) -1 fi x -1 -1 co 0) -- -- (3) o Cl) 0) X D C7 r+ X 0) C) -s U 0) O - -o 7 7 C) 0) C D CD 0) C) CD 7• 3 CC -- co cc CD CD a CD r+ CD CD - 7 7C C -5 E -3 •- co Z o 7 It CC N --, N CD C7 CO - -' 7 0.. 0 0 O C)1 - O 0 CO 0 -` 3 CO CO a N C Z o CO N - CD o o N C Cl) 0 co o H- - 0) 3 N 3 r 3 ) H- a r CO G) 0 -• a -< a 0 -0 C C o CD CD 70 CO C Z 73 3 CO CO Z -I 0 -I w z Z n -0 CO m -1 M rn r CD -1 -< -• N C7 70 S o -< 3 P1 x CD o. m M a a 77 a - -I CO a 3 0 7C 70 o C rn 70 C 70 R7 r o r o G) Z -I C 07 - co 0 CO G) rn m 37 a Cl) C_ rn N CD CD a m 70 -< o x -1 73 7C -< 70 Cl) o a rn -I O 0 CO o -I CO rn CD CD -0 m 73 C7 Z 7o m r -P m = o Z = C!) rn rn o 7' CZ M -1 CO Cl) X a w -I a 70 70 -1 a Cl) N -< M m c m = 73 m -- • Cl) m H n o X 7 CD -1 Z D 0_ CO r m o C) r CO o co I-I m o �, 0) -I E w C = 7 m CO Q.. 7J I -I n CD 0 c -J D co CD CD CO 0 0 -I -1 M -„ S-, 3 -0 0 I- 0 70 0 Z M c) n c) 0- a cn C •- I CO CO I C2 r+ CO o O m H C o C7 7 N Z CO r+ o. 70 3 Q ( G) -3 o 0 r w - o. O rn L W N - OD 0 0 co o H o �, TI Z Cr N TI .o o C H 70 • • Contractors or Tradespeople Pri1 Friendly Page • Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name BROCKMAN BUILDERS INC UBI No. 602421012 Phone 3606381125 Status Active Address 33165 Hoffman Rd Ne License No. BROCKBI9610N Suite/Apt. License Type Construction Contractor City Kingston Effective Date 9/15/2004 State WA Expiration Date 9/15/2012 Zip 98346 Suspend Date County Kitsap Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type Status 1 2 Date Date BROCKB*051 Bb BROCKMAN Construction General Unused 1/26/1995 5/29/2005 Expired BUILDERS Contractor Business Owner Information Name Role Effective Date Expiration Date BROCKMAN, PETERJ President 09/15/2004 BROCKMAN, JULEE A Secretary 09/15/2004 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 RLI INS CO SRS1009606 09/09/2004 Until Cancelled $12,000.0009/15/2004 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 AMCO Ins Co ACPACT0752431325004/15/2011 04/15/2013 $1,000,000.00 02/16/2012 3 AMCO Ins Co ACP7551440793 04/15/2007 04/15/2011 $1,000,000.00 02/16/2010 • 2 AMCO INS CO ACP7521440793 04/15/2005 04/15/2007 $2,000,000.00 03/23/2006 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 3/29/2012 • Jefferson County Building Division Permit Number: BLD12-00106 Applicant: MAUNEY TRUSTEE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 l 80 7,--- Post Holes !� Framing Id 115'- A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION -3\(0)1 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD12-00106 1.) The applicants shall implement the approved CASP. 2.) The conditions in the GASP permit(CSP12-00003) apply to this permit. . KA BUILDING FINAL CERTIFICATE OF OCCUPANCY SHALL NOT BE ISSUED UNTIL „IN i jt r DCD HAS REVIEWED AND APPROVED A MITIGATION AS-BUILT SUBMITTED BY THE APPLICANTS. 4.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 5.) The site plan as submitted with the Building Permit application on March 29, 2012 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 5, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\tirtamark\riata\farms\F RI Il Parmit Rlrin mt 7/18/9(114 • BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD12-00106 Received Date: 3/29/2012 SITE ADDRESS: 91 BALDWIN RD Issue Date 2/18/2014 NORDLAND, 98358 Expiration Date 2/18/2015 OWNER: MARC MAUNEY TRUSTEE PHONE: 360-385-5032 LYNNE ROGERSON TRUSTEE 2133 OAK BAY RD PORT HADLOCK WA 98339-9778 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 921094026 Section: 9 Township: 29 N Range: 01 E CONTRACTOR: BROCKMAN BUILDERS INC PHONE: (360)638-1125 33165 HOFFMAN RD NE KINGSTON WA 98346 Contractor's License BROCKB1961ON Expires 9/15/2014 PROJECT DESCRIPTION: STAIRS TO THE BEACH TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 5,600.00 ADD'L: HEAT TYPE CODE EDITION. 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $125.25 LYK 03/29/12 131591 Exist: 0 Exist: 0 Plan Check $81.41 LYK 03/29/12 131591 Prop: 0 Prop: 0 State Building Code $4.50 LYK 03/29/12 131591 Total: 0 Total: 0 Total: $211.16 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED