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HomeMy WebLinkAboutBLD2011-00223 - 01 PERMIT APPLICATION"?1.r, *c P E RM rr APP L, "o,oQ MLA11-00175 Revieur Type: ! Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: SITE ADDRESS: BLD11-00223 195 PARADISE COVE BRINNON,98320 RICHARD A WITTE LISA M WITTE 2313 NW BLUE RIDGE DR SEATTLE WA98177-5429 Received Date: 81812011 OWNER:PHONE: 20G953-1648 SUBDIVISION: PARCEL NUMBER 983700007 Section PARADISE COVE Block: 29 Township: 25 N Range: Lot: 10 02w CONTRACTOR:MCBRIDE CONSTRUCTION 224 NICKERSON ST SEATTLE WA 98109 PHONE: Q06\283-7121 Contractor's License MCBRICROggJZ Expires 312512013 REPRESENTATIVE PHONE PROJECT DESCRIPTIOT NEW DETACHED GARAGE W/ 2ND FLOOR HTD GAME ROOM & BATHROOM ryPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: GAR NEW 76,040.00 2009 SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: 720 HEAT TYPE: HEAT TYPE: # OF STORIES: PRO 720 120 SHORELINE: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL WATER SYSTEM: ALT 33681 BEDROOMS: Exist: 0Prop: 0Total: 0 BATHROOMS Exist: 0Prop: 1 T Approved/Date APPROVED JULS 2s12 J effcrson Gounty planning & Building Defanment nq Date: Type Amount Paid Bv: Date: Receipt: Permit Plan Check State Building Code Total: $832.7s LYK $541.29 LYK $4.50 LYK 08/08/1 1 08108t11 08/08/1 1 127987 127987 127987 $1,378.54 o o JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street . Port Townsend . Washington g8368 360/379-4450 . 360/379-4451 Fax www. co.jefferson.wa. us/commdevelopment Master Permit Application MLA:ll-11, od.Cr (include ,sheets as necessary):P Tax Parcel Number:Size: Zd feet) Site Address and/or Directions to Property: COQE5 ApplicanUAgent (if different from owner): Telephone: Fax: 2Fax: Property Owner(s)of Record: Mailing Address: 7 Mailing Address: email:q AUG B ZIII Stewardship Plan tr Allowed "Yes' Use Consistency Analysis E Stormwater Management J$Site Plan Approval Advance Determination (SPAAD). D Temporary Use D Wireless Telecommunication . E Forest Practices AcURelease of Six-year Moratorium' May require a Pre -Appltcatlon Conference Boundary Line Adjustment Short Plat * Binding Site Plan * Long Plat * Planned Rural Residential Development (PRRD)/Amendments *' tr Plat Vacation/Alteration * E Shoreline Master Program Exemption/Permit Revisions * tr Shoreline Management Substantial Development " tr Shoreline Management Variance tr Comprehensive Plan/UDC/Land Use Districl Map Amendment D Jefferson County Shorellne Master Program Amendment EI Tree Vegetation Request D D D tr D D tr tr tr D Use) H a What kind of Permit? (Check each box that applies frBuilding' tr Demolition Permit tr Single Family D Manufactured HomeE Commercial "D Change of Use U Address Garage *rfiaehetl/ Detached Modular tr Road Approach_ tr Cottage Industry! Home Business ffPropane-tr Sign identify any other local, state or federat permits required for this proposal, if known:Please I hereby designate OwHrn SroueruRe act as my agent in matlers relating to this application for permit(s). Date: By signing this application form, lhe 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 ownerTagonl with resp6c{ to this application packet may result in this permit being null and void. I further agre€ to save, indemnify and hold harmless Jefferson County against all liabiliti€s, judgments, court costs, reasonable attorne/s fees andexpenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. wantszSignature: its employees, representatives or agents for the sole purpose of application will be assumed unless the applicant informs the County in writing at the Date: 8 '{ -I I further agr6e to provide access and right of entry to Jefferson Coung and review and any required later inspections.Staffs access and right of entry time of the application that he prior notice. The action or actions Applicant will undertake as a result of the issuance of lhis endangered species as those lerms are defined in the federal law known as the or'ESA'' Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this will not violate the ESA. Any individual, group or agency can file a lawsuit on behalf of an County development code. The Applicant acknowledges that he, she or it holds individual to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below Date:P -t-zotl action(s) for permit may negativ€ly impact upon on6 or more threatened or endang€red species and could lead to a potential -take' of an 'Endangered Species Act" permit has bsen issued endangered species regarding your even if you are in compliance with the Jefferson and non-transferable Signature: G;\PemitCenter\###t'ORMS###\DRD FORMS\Maste r pmit Appliqtion 5-29-08.doc I t DESIGNAT]ON OF AGENT tn o o BUILDER STATEMENT The signer of lhis staternent 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 projed. Date: GENERAL loFnx:PHONE a- NrRAcroR On MaNuractunEo Houe C, i4cBPlCR o , COA.JAAJNY B E?b rut q o q,z- WDLovli NuMeeR Et'lRtt-:MATLTNG MATLTNG ADDRESS: CorurmcroR's Ltcemse NUMBER: ARcHITECT/ENGINEER: lf this is a Commercial Proiect vou must answer the followinq: Number of Parking Spaces: Current: - ProPosed: - Number of occupants (includes owners, tenants, employees, elc) Current IBC Occupanry: - IBC Type of construction: - Tank PHONE )??7. BankE U Setback:d tlo f 1 Heat Stove i Cook Stove Height;lo' Fnx: ( ) Size of Propane Tank: 1 Pellet stove i1 Fireplace lnsert o t I o-z- Frame Type: Proposed Will you have Food Service? Yes / No i Underground Tank Type Disposal: the reserue area. Bathrooms: Existing: Proposed: Total: Bedrooms: Existing: Proposed: Total:Tvoe of Heat: iwper;e Pwv buil di n g s, all p ro PertY system componenE, 0 Concrete C Masonry O Other:- Wood Steel D Sewer D Community SYstem X lndividual System,SEp permit A clIL-@ZS Water SupplY: o Private well D Two Party I Alteration/Remodel t Repair ! Demolition When applying for a permitto install a proPane tank you must lines, tank location and size, distances from the propane Enk Current ) L\iil -4,E Bk I Main Floor Heated Yc1Lo2* Floor Heated rruggg,'75Blse fegppi 0F C6nlMUNtIOther Heated -4q1 -ryMezzanine 5+r zlPlan Check fee:Heated Basement )State Surcharge fee:Unheated Basement --Pot Water Review fee: 7.?-eOther Unheated (a4{LAbC albl .5+SUBTOTALGarage/Carport ey(silN6lLo91 1/Rd Approach fee:Decks TOTAL:Other zs2q x-R-l I Receipt Number: Cash/Check Number: DatE: lnitials: ' ESTTMATED COST (REQUIRED) oFair mafuelvalue of all labor and materials foundation to finish F doAoo.oo G:\PcmiCcntcr\###FORN{S###\DRD FORMS\N[6ter Pcmit APp[cation 5-29-08.doc of urJtf-7)(Cofiut Number of ADA Parking SPaces:- l, ew:rcv Rel IFFEFRqNN*-E ,t: I I I s l)Utl ,bI' l2:lc1x1 REAL PROPERTY MASTERScneeni 01 Pancel # 000983700007 Geo Cd 25n229311441 PARADISE COVE LOT 1tl Mode: Auto Roll: Nbhd cd 1280 Loc ID T/? Chg Dt T/P Chg Usr Land Use 9100 VACANT LAND C/U Code INQUIRY OFF x TaxpaUen Cd t4ITT 2101 1,,lITTE, RICHARD A x Title 0unen 812212008 JA Tax Code Af f idav it 844 1 90067 Status TX Vol / Page TAXABLE I o o R]CHARD A t4 ITTE LISA M l.,lITTE 2313 NI4 BLUE RIDGE DR SEATTLE t.lA g8177-5429 lnLo tt-fl5 Seanch KeU TaxpaUen t^lITT2101 COMPLETE ADDRESS hI INDOl^I CMD 6; End l,,lindouu CMD 7i End of Job REAL PROPERTY MASTERScneenl 01 Pancel # 000983700008 Geo Cd 250229311441 PARADISE C()VE Lt)T 11 Mode: Auto Roll: Nbhd cd 1280 Loc ID T/P Chg Dt I/P Chg Usr- Land Use 1100 RES-SINGLE C/U Code INQUIRY OFF x TaxpaUen Cd 1^IITT 2101 t4ITTE, RICHARD A x Title Ounen 8/22/2008 JA Tax Code Af f idav it n44 1 68590 Status T}( Vo I /Page TAXABLE / o o RICHARD A l,,lITTE LISA M l,,IITTE 2313 N!i BLUE RIDGE DR SEATTLE !^l A 98177-5429 mprt^l-f) Seanch KeU TaxpaUer 1^lITT21D1 COMPLETE ADDRESS I^IIND(]I.I CMD 6: End lnl indou CMD 7i End of Job REAL PROPERTY MASTERScneeni 01 Parcel # 000983700009 Geo Cd 25D22931 1441 PARADISE COVE LOT 1? Mode: Auto Roll; Nbhd cd 1280 Loc ID TIP Chg Dt f /P Chg Usn Land Use 9100 VACANT LAND C/U Code INQUIRY OFF x TaxpaUen Cd x Title 0unen Tax Code Af f idav it 14ITT 21O1 t4ITTE, RICHARD A 8122/2008 JA 044 1 68590 Status TX Vo I /Page TAXABLE I o a RICHARD A !^IITTE LISA M 14ITTE 2313 NI4 BLUE RIDGE DR SEATTLE !,t A 98177 -5429 [Dtnrl-111 Search KeU TaxpaUen t4rTT2101 COMPLETE ADDRESS 14INDOhI CMD 6: End l,,l indoul cMD 7i End of Job Contractors or Tradespeople Oetf o Page 1 of3 Washington State Department of Labor & lndustries Contractors or Tradespeople Detail Return to List > Start a New Search >Ei Printer friendlv Verifu Workers' Como Premium Status Check for Dept. of Revenue Account About Genera!/Specialty Contractor A business registered as a construction contractor with t&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. Name Phone No. Address Suite/Apt. City State zip County Business Type Parent Company MCBRIDE CONST RESOURCES INC (206) 283-71 2r 224 Nickerson St UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty'l Specialty 2 a L) 600524476 Active MCBRTCR099JZ Seattle WA 98109 King Corporation ]i/ Construction Contractor 4 l9 I 1991 312s 12013 i) -i/ General fJ unused E OtherAssociated Licenses License Name Type Specialty Specialty Effective 1 2 Date Expiration Date Status PAMCOICOS8DL PAMCO INDUSTRIAL CONTR INC Construction Contractor General Unused 311311992 31611997 Archived t\4cBRtcn 64D8 MCBRIDE_RAFTERY CONST INC Con struction Contracto r General Unused 312811984 3125 11991 Archived E Eusiness Owner lnformation Q Hide All Name Role Effective Date MCBRIDE, PATRICIA LAMBERT, M.J. Member Member 0r /01 /r 980 0411112011 https ://fortress.wa. gov/lni/bbip/Result. aspx Expiration Date 8t8t20r1 Business and Licensing lnformation Contractors or Tradespeople O.O o Page 2 of 3 WITTE, RICHARD ALLEN MCBRIDE, CONNOR WILLIAMS BURKLAND, DELIAJO EDWARDS, DENNIS JAMES MCBRIDE, KENNETH W clBBoNS, FRANCESS J E aona tnformation ! Bond Bond Company Bond Name Account Number Effective Date Expiration Date Bond Amount Received Date President Secretary Treasurer Vice President 0r /0r /r 980 03/r s/20r r 03/15/20r'r 0r/01/1980 0r/0r/1980 0r /01 /r 980 Cancel Date lmpaired Date 0411112011 04lt1l2o11 0411112011 0411112011 03/r 5/20r 1 03l1sl2o11 8 7 THE HANOVER INSURANCE COMPANY 1968015 03 125 12011 INS CO OF THE WEST r 209480 0310412002 E Assignment of Savings tnformation i/ No records found for the previous 6 year period E lnrr."n." lnformation ! lnsurance Company Name Policy Number Effective Date 25 24 23 22 Until Cancelled $ r 2,000.00 03 115 1201 1 $r 2,000.00 03 12212002 Until Cancelled 0312s12o11 Cancel Date Expiration Date 20 Westcheste r Surp Lines lns Co G24080638003 07115/20il 0711512012 WESTCHESTER suRP L|NES rNS G24080638002 07 l1 5/201 0 07 11512011 co WESTCHESTER SURP LINES INS co G24080638001 07 l1sl2009 07 11s12010 LEXINGTON INS co 7359776 0711s12008 0711s12009 LEXINGTON INS co 7353310 0312712007 0711512008 LEXINGTON INS co 1 065528 0312712006 0312712007 LEXINGTON INS co 1 4r 3060 03 t27 1200s 03 t27 t2006 lmpaired Amount Date Received Date $1,000,000.00 07 10812011 $r,000,000.00 07 114 12010 $ r ,000,000.00 07 I 10 12009 $r,000,000.00 07 l1s 12008 $ r ,000,000.00 0312312007 $r,000,000.00 03 124 12006 $ r ,000,000.00 03131 12005 21 t9 E Summons/Complaint lnformation i/ No unsatisfied complaints on file within prior 6 year period E w"rr"n, lnformation i/ No unsatisfied warrants on file within prior 6 year period https ://fortress.wa. gov/lni/bbip/Result. aspx 8181201r MEMORANDUM DATE TO Company/Address Proj,ect Number Project Name We are Sending it: o October 22,2012 Mr. Rick Wifte Witte Garage- Paradise Cove US Mail n Faxed n Email XI o MICHAEL SMITH Structural Engineer 1412 Olympic Avenue Edmonds, WA98020 cel! (2061 778-1364 FAX Number: Phone Number: Operator: Pages Faxed: Remarks: As you requested, we have reviewed the change in the concrete perimeter foundation wall. We understand the following: . You would like to make the front concrete foundation wall (north foundation wall under the garage doors) approximately 5' tall. . The back wall (south elevation) will be approximately 10' tall. . The 20' by 8" tall footings have already been placed. The reinforcing used was per the Structural Notes on Sheet S1.1 of the drawings "A Garage and Loft for Rick and Lisa Witte" originally dated August 4,24fi: o #5 at 16' on center (o.c.) for walls that are 4'-0" or shorter o #5 at12" o.c. for walls that are 8'-0" or shorter We recommend the following: r lt is acceptable that #5 at '16" o.c. be used for walls that are 5L0" or shorter that span between the footing and the garage slab, and do support soil lateral loads. c lt is acceptable that #5 at12" o.c. be used for walls up to 10'-0'r tall that span between the footing and the garage slab, and do not support soil lateral loads. . A 30!' lap is acceptable where the reinforcing from the footings has already been placed along the (front) north wall (where the wall was going to be shorter). A 36" lap should be maintained per the remainder of the locations per the Structural Notes). ,/o Place and compact soil along the base of the north foundation the crawlspace. Please contact me if any additional questions. P. Smith, P.E., S.E. , -iJ.- .'. C'.IDocuments and Setlings\MichaelplMy Documenls\Mike Moved from Publ'a 10-14-lllEngineering Woft for OthentWiUrWfdffi,iiatri:iiitz .doc10l22]12