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Home My WebLink AboutBLD2015-00027 - 01 PERMIT APPLICATION • BLD15-00027 BUILDING PERMIT APPLIrION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00027 Received Date: 1/28/2015 SITE ADDRESS: 294983 HWY 101 QUILCENE, 98376 OWNER: CHARLES H THRASHER PHONE: 360-765-4717 7450 COYLE RD QUILCENE WA 98376-9677 9375 SUBDIVISION: Block: 6 Lot: 1+ PARCEL NUMBER: 937500602 Section: 24 Township: 27 N Range: 2V■ CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW LIGHTING, RESTAURANT KITCHEN EQUIPMENT, METAL STAIRS AND NEW KITCHEN HOOD. TENANT IMPROVEMENTS TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 59,492.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $233.00 SRE 01/28/15 154048 Al Plan Check $144.95 SRE 01/28/15 154048 FEB 2 3 2015 State Building Code $4.50 SRE 01/28/15 154048 Total: $382.45 Jefferson County DCD \\tidemark\data\forms\F_BLD App_Bld.rpt 1/28/2015 To : Jefferson County Department of Community Development Attached Permit Application,location 294983 HIGHWAY 101, Quilcene WA. Assessor Tax Parcel, 937500602 1. Budget$ 59,492.00 2. 1 Permit Application, New Lighting, Restaurant kitchen equipment and metal stair 0.'/ Ne,.v k men licrd 3. 1 Interior Lighting Summary 4. 3 sets of plans, Huntley Architecture,sheets A 1.0,A 2.0,A3.0,dated 11/14/14 5. 7 site plans, Huntley Architecture, sheet A2.0, 11 x 17,dated 11/14/14 6. 3 sets of prints,Captiveaire,new Kitchen Hood, 7 sheets, � Any questions please contact Charles Thrasher 360-765-4717 DAN 2 2015i C thrasher @mindspring.com n 1 1 �TY-'�F�EIOPPf�FNT Ili , • • 4-- c. DEPARTMENT OF COMMUNITY DEVELOPMENT w i w 621 Sheridan Street,Port Townsend,WA 98368 uJ Tel:360.379.4470 I Fits:360.379.4451 Web:v,ww.eo.lefferson.v,ia.us/communitydevelopment E mail:dcdrdco.iefferson.wa.us 4SHINC1 ' PERMIT APPLICATION _ Steps in the Permit Process: ;I r -Review application checklist to ensure all information is completed prior to submitting applica ' n. -Make sure septic has been applied for and water availability has been proven. 1 'I '1, JAN 2 7 2015 !i! -Make an appointment to meet with the Permit Technician by calling 360-379-4450. i ! ) Li -This is not a standalone application;it must be accompanied by a project specific supplemental application. _.-._.) -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit'is-i5 t1Ld. 61J,,1,dI1Y DP+F±OPMFNT For Department Use Only Building Permit# 6-, Related Application#s: MLA# hcSite Information Assessor Tax Parcel Number: f' 7 5-6"V6, v Site Address and/or Directions to Property: -' 7 53 ilorcii rot PU7 IS k Access(name of street(s)) from which access will be gained: Present use of property: OZ/1 -fi /e'C7i Description of Work(include proposed uses): /yew. y , / -4. Li i amellfI11 IiiWJ Alt!1 /u AfrAW.e ;Iilri1A !tea GO ✓L / f� oil �� /r: _ 4 ' p ' - . Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES ! _ NO �y _ If not served by sewer identified above, identify type of septic system below: / Type of Sewage System Serving Property: Septic Septic Permit#: 1'4-1649 .? <4 A — / Community Septic Name of System: Case#: A.c tether residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete 7C' Partial _ Has a reserve drainfield been designated? Yes-7 No _ Date of Last Operations& Maintenance check: Attach last t_r_rt to application Describe or attach any drainfield easements,covenants or notices on title,which may impact the property: The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will mail/ e-mail requests and information about the application to the authorized agent/representative and will copy(cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: ,, Name: C.Eta,t- 'e-S -'�,Y`a-4.E,5 Address: 1 11-SU _ SZL. � ,Q , to ci v 516 Phone#: 60 7( b 7 (7 E-mail Address: c_--7141,,k6 f'ie t a p .cot Please contact Authorized Agent/Representative with project info. (select only one). t ----- Property Owner Signature: Date: / p2? /`J Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative (If other than owner) Name: Address: ;' Phone#: E-mail Address: 1U Professional: Is this an Authorized Agent/Representative for this project? NO i,N,Y YES Engineer Architect Surveyor Contractor Cbaerliat Na me: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Attach additional pages if necessary Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein,that they are not licensed contractors and t at they will be assuming the responsibility of the General ontractor for the proposed pr •ect. Signatur . aA l Print Name: e /e3 Va.-6 Date: G l5 • ��sO 'off DEPARTMENT OF COMMUNITY DEVELOPMENT N cy� 621 Sheridan Street,Poit Townsend,WA 98368 L-=? `a Tel:360.379.4450 ! Fax:360.379.4451 Web: w.co.jefferson.wa.us/communitydevelopment E ma l:dcdPtco.jeffeison.wa.us sHING�� PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#5: MLA# Site Information Assessor Tax Parcel Number: Site Address and/or Directions to Property: Access (name of street(s)) from which access will be gained: Present use of property: Description of Work (include proposed uses): Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: Community Septic Name of System: Case #: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete Partial Has a reserve drainfield been designated? Yes No Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: • 0 SON e DEPARTMENT OF COMMUNITY DEVELOPMENT 4-g c)6. 621 Sheridan Street,Port Townsend,WA 98368 Tel 360.379.4450 I Fax:360.3:9.4451 W Web:www.co.jefferson.wa.us%communitydevelopment E-mail:dcd @co.jefferson.Wa.us ' Ii NCs`CO SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: f)j_lQ I `true ker Assessor Tax Parcel#: Q37 56e5 60 ?, Type of Building New Replacement Relocated Addition Repair Demolition * T244 aid- At 1 N+CT��'•- *A separate permit is required Select One: Single Family Residence Modular Other list Proposed Building/Project Number of floors #new bedrooms existing ?, (71„ total bed #new bathrooms existing total bath Heat Source Select all that apply: Electric )( Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft Residential(Commercial Main Floor 6 7 A Residential/Commercial Second Floor Additional Floors-heated/unheated r.— r x.i i ., .—�1 Basement-unfinished __._._._-.---. Basement-finished space or habitable ( . Detached Garage- heated/unheated i .JAN 2 7 2015 II Attached Garage-heated/unheated Garage 2nd fl- unfinished storage lrHS01v COUNTY I Garage 2nd fl-finished space or habitable ?T.OF COMMUNITY DEVELOPMENT Carport-2 walls or less Deck- uncovered Covered porch Other(shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): $ 5'tri, LI C1 00 • List existing buildings on property (i.e. house, garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Property Use 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits related tooth_this application and subsequent permit issuance. 7 Signature:a Vu Print Name:Ohah/e6 tY,(6/kin Date: ° ` I.5 Estimated Cost of Project $ ForDepartmerttUse fly '0'00 ... . Building Base Fees Building Base Plan Check Review Land Use Review $228.00 Septic Review $79.00 Potable Water $107.00 Technology/Scan $19.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Road Approach Total Fees Receipt# Date: Cash/Check/CC: 4 Interior Lighting Summary LTG-SUM 2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised Jan 2014 Project Info Project Address Date Compliance /ri For Bui ding partment Use forms do not "S7 'require a password to Applicant Name: ' — `� ( F----7 use. Applicant Address: ± i Instructional and Applicant Phone: ' i Project Description ❑ New Building ❑ Addition "3Alteration T IL Included �� r �- Lighting Compliance Path Q Lighting Power Density Calculations Q Total Building Performance CC mN UN!TY DFMCPM NT (If Total Building Performance then only LGT-CHK is required.) Lighting Power Allowance 0 Building Area Method pace-By-Space Method Method Selection required to enable LPA forms Interior Lighting System /V 1 G 7) / 5 � G s gi 77 Description j- cl Z- 6(17-POZS Briefly describe lighting system type and features. Additions and Change of Space Use (C101.4.3 &C101.4.4) yl/Addition area or Change of Space Use area complies with all applicable provisions as stand alone project ❑ Addition area is combined with existing building lighting systems to demonstrate compliance with all applicable provisions per C101.4.3 Provide Building Area Method(LTG-INT-BLD)or Space-By-Space Method(LTG-INT-SPACE)Compliance Form.Document maximum allowed and proposed(including existing if applicable)lighting wattage of Addition or Change of Use space.Provide applicable lighting controls per C405.2 and commissioning of lighting controls per C405.13. Alterations,Renovations and Repairs (C101.4.3.1) 60%or more of luminaires in space replaced I Provide Building Area Method(LTG-INT-BLD)or Space-By-Space Method(LTG-INT-SPACE)Compliance Form.Document maximum allowed wattage within the lighting retrofit space in Maximum Allowed Wattage table and proposed(including existing)lighting wattage in Proposed Wattage table. Retrofit and non-retrofit spaces shall be documented separately using multiple forms. ❑ Less than 60%of luminaires in space replaced Provide a separate Space-By-Space Method(LTG-INT-SPACE)Compliance Form for this retrofit area.Document existing total wattage within the lighting retrofit space in cell provided in the Maximum Allowed Wattage table.Document proposed(including existing)lighting wattage in the Proposed Wattage table. ❑ Lamp and/or ballast replacement within existing luminaires only—existing total interior building wattage not increased ❑ New wiring installed to serve added fixtures and/or fixtures relocated to new circuit Provide applicable manual fighting controls(C4052.1),occupancy sensors(C405.2.2.2),daylight zone controls(C405.2.2.3),specific application controls(C405.2.3),and commissioning of lighting controls per C405.13 ❑ New or moved lighting panel Provide all applicable lighting controls as noted for New Wiring,automatic time switch controls(C405.2 2.1),and commissioning of lighting controls per C405.13. ❑ Space is reconfigured-luminaires unchanged or moved only Provide all applicable lighting controls as noted for New Wiring and commissioning of lighting controls per C405.13. ❑ No changes are being made to the interior lighting and space use not changed. i a ■ Interior Lighting Summary - Space-By-Space LTG-INT-SPACE 2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all RI Revised Jan 201 ,r� Project Address Fill this line out on LGT-SUM Date �or�/179(� Lighting Alterations, Renovations &Building Additions For Building Department Use Q Less than 60% -74 60%or more 0 Stand alone 0 Addition fixtures replaced fixtures replaced bldg.addition combined w/exist Notes: a. Lighting fixtures in a building addition may comply as a stand alone project,or they may be combined with the overall existing bldg lighting to demonstrate compliance.Refer to C101.4.3. b. For retrofits and building additions,provide Space Types and gross interior areas in the Maximum Allowed Lighting table.if a builidng addition will comply as combined with the overall existing builidng,include all applicable existing Space Types and gross interior areas. c.Document new fixtures and all existing to remain fixtures in the Proposed lighting table. d.if less than 60%of existing fixtures will be replaced,provide total existing lighting wattage Specify Compliance Method on LGT-SUM Location(plan#, Allowed Gross Interior Watts Allowed room#) Space Type* Watts per ft2 Area in ft2 (watts/ft2 x-rea) Atrium" Enter Height: Existing Lighting Enter Exist.Watts: Retail Display Allowance from LTG-INT-DISPLAY * Select Table C405.5.2(2)category from drop down menu. Area Allowed Watts ** For atriums.indicate height.Allowed wattage for first 40 feet is 0.03 Witt.ht., Total - / '577 above 40 feet is 0.02 W/ft.ht. Specify Compliance Method on LGT-SUM Location(plan#, Number of Watts/ Watts room#) Fixture Description*** Fixtures Fixture Proposed Ayr-+ Wit iAv4dAJ A �4 y 0.27► ♦ 77 Retail Display Lighting from LTG-INT-DISPLAY 7 Total Proposed Watts may not exceed Total Allowed Watts for interior Lighting Total Proposed Watt t -,7 ***Include existing to remain lighting fixtures and exempt lighting equipment per notes below. ! / Notes: 1.Include ALL proposed lighting fixtures. 2-For proposed Fixture Description,indicate fixture type,lamp type(e.g. T-8),number of lamps in the fixture,and ballast type(if included).For track fighting,fist the length of the track(in feet)in addition to the fixture,lamp,and ballast information. 3.For proposed Watts/Fixture,use manufacturer's listed maximum input wattage of the fixture(not simply the lamp wattage)and other criteria as specified in Section C405.5.1.For line voltage track lighting,list the greater of actual luminaire wattage or length of track multiplied by 50, or as applicable,the wattage of current limiting devices of the transformer.For low voltage track lighting list the transformer rated wattage. 4.For fighting equipment eligible for exemption per C405.5.1,note exception number and leave Watts/Fixture blank. 5.Document existing to remain fixtures in Proposed Lighting table in the same manner as new fixtures.Identify as existing in fixture description. Interior Lighting Power Allowance 0 • -S0N co DEPARTMENT OF COMMUNITY DEVELOPMENT 4, ': �,� 621 Sheridan Street,Port Townsend,WA 98368 W ■a „C Tel:360.379.4450 I Fax:360.379.4451 Web:wiaw.co.iefferson wa.us/communitvdevelopment 1p ° E-mail:dcd�ilco.iefferson.wa.us *ISHI N C5 PERMIT FEES WORKSHEET Name Charles Thrasher Parcel # 937500602 Estimated Cost of Project $59,492.00 Permit# Building Base Fees ( v , Building Base � l�. $667.00 r1ti JAN 2 7 20 15 Plan Check Review \u\ ___—■ $433.55-Land Use Review ll`EEP,SOi000NIY _ DEFT.OF COMMl1NI1Y OEVFLOP�_ MGM Septic Review $160.00 Potable Water Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Fire Marshall $78.00 Zoning New Address Public Works Total Fees I $1,362.55 I Office Use Only Receipt Number: t, w--U( -I-° Cash/Check/CC: PI Date: C