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Home My WebLink AboutBLD2015-00032 - 01 PERMIT APPLICATION ói ILDING PERMIT APPLICA BLD15-00032 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00032 Received Date: 2/5/2015 SITE ADDRESS: 10 WINDSHIP DR PORT TOWNSEND, 98368 OWNER: DOUGLAS H LA BARRE TRSTEE PHONE: 805-798-0157 DULANIE E LA BARRE TRSTEE 206 S BLANCHE ST OJAI CA 93023-3236 9647 SUBDIVISION: Block: Lot: 38 PARCEL NUMBER: 964700038 Section: 27 Township: 30 N Range: 1■1 CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: TERI NOMURA PHONE: 360-531-1602 1220 WATER ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP REMODEL-THIS HOUSE WAS PERMITED AS A 4 BEDROOM HOUSE- IT IS NOW A 2 BEDROOM HOUSE- THIS PERMIT IS ONLY TO CONFIRM AND HAVE RECORD THAT THIS HOUSE IS A 2 BEDROOM HOUSE. SEP15-00006 TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 1,762 VALUATION ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK' SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 4 Exist: 3 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $156.00 SRE 02/04/15 154105 State Building Code $4.50 SRE 02/04/15 154105 APPROVED Total: $160.50 FEB 12 2015 Jefferson County DCD \\firinmer4\rlofo\forme\F RI fl Ann RIr!rnf 'J/0/1(11F S • ,w4 ON cod DEPARTMENT OF COMMUNITY DEVELOPMENT 4 621 Sheridan Street Port Townsend,WA 98368 ,e� � 6 , ,W Tel:360.379.4450 Fax:360.3 79.4411 Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcd @co.jefferson.wa.us 44sHI N��o� � ECEOVc PERMIT APPLICATION C � ( -"-1 < f 1'` 1 FEB - 4 2015 I Steps in the Permit Process: { ;' 3 -Review application checklist to ensure all information is completed prior to submittingIappl cation. 1 -Make sure septic has been applied for and water availability has been proven. `` �=Rt: CO p Pp Y p # JEf�i Lho0iv BOUNTY -Make an appointment to meet with the Permit Technician by calling 360-379-4450. _1)c.PT.OF COMMUNITY DEVELOPMENT -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 fly, , ' Building Permit s i;r E Related Appli ation#s. z, . ,, 4e 6_, LA#: rr yy � ,� Sit rmation , , ' ';',, :: % l , Assessor Tax Parcel Number: cl Co Y _ 7 0 0° 0 3 g Site Address and/or Directions to Property: ,'0 WI'r14 h i P On`t 1 Pa-I-To u3)\ Kai. Pf- Pri v-c, J').f ay. \,41`nasiup --.fb IO Access(name of street(s)) from which access will be gained: vl;vtds 11 i p 'r?v-( Present use of property: R.5"Ce,�,`ar-3L Description of Work(include proposed uses): 4{.5 2 51.0 (k i--) term 1 f(cc:cr--F;t ) tzvx-r 14,-1-L4. ,-F i 5 4_ (2 B k k- ,,Wastewater ' e Disposal , ... ...A s.,1.. i F: . This property is served by Port Townsend of Port Ludlow sewer system? YES _ — NO x If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: )( Septic Septic Permit#: 76 -g h e,3 i2e,rmot )S-000 C, _ _ Community Septic Name of System: Case#: Are other residences connected to the septic system? n o Additions or repairs to sewage system: yes — '01-1-1 Is it a complete or partial system installation: Complete r -- _ Partial Has a reserve drainfield been designated? Yes 'C v \ax,3 r"'h10 Date of Last Operations& Maintenance check: J j- ___i S Attach last report to application Describe or attach any drainfield easements,covenants or notices on title,which may impact the property: • • The authorized agent/representative is t e 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(ii.e.,County email is not blocked or sent to"junk mail"). Applicant/Property Owner Informatj. Property Owner: `pta t.l.c�1�S 1..a‘ B4-1–r� 1 `Dc.ej Cc v■ I e• L ' r ✓' Name: J Address: (20G St , B la,1che Si- i�J ` 1' CA 930P-3 Phone#: _ (� $ 5r -7q - /, - ' ddress: 0(la been-e >s-bc5/o 2 4 . he Please contact Authorized AgenfiLtepres ntative • h project info. (select only one). — — Property Owner Signature: �� ?---y----- Date: 015L/ /r Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. applicant: Authorized g'nt/Re( '1tt iir (If other€#an owner) _„y. °"' Name: T j N arnv rzti E-5‘47-1k,;, - r CA)r'p d,c e� f 1 Address: 1oZoZQ vleM2^�- oYt To' s�5e Phone#: `36 0 5,i- ( ' E-mail Address: ►'\byy‘uij njev rv1/4ere .c Professional; is this an.:A y t orized Agent/Representative for this'project? NO _ YES X '/I''' ngineer - Architect Surveyor Contractor Consultant Name: �YlL1 V1 - L1 v14A Dre / c( 5-Y/ -71/3-C97 Address: ci e a A e4 q Phone#: E-mail Address: Ia drevii (2 6,Q/ e)(411oz5h.COI Professionals is this an Authorized Agent/Represet tativ,�t�e`for this project? 1 O i YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: d 3UY -fig Professional / Is this an'Authorizedent/Representative for this project -�IN :.1 / 'ES.. Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional _. Is this an Authorized Agent/Representative`for this project?f 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 that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Print Name: Date: . S SON c, DEPARTMENT OF COMMUNITY DEVELOPMENT .4...c4 °G 621 Sheridan Street,Port Townsend,WA 98368 11 W Tel:360.379.4450 ( Fax:360.379.4451 ce,D . -C Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcd(aico.jefferson.wa.us 1 5—r ( OS-- 17SkING�� SUPPLEMENTAL APPLICATION Cl\"0Ciq RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information. Owner Name: 0 , , I ' • fa e y4ee Assessor Tax Parcel#: 9(014-7cx)-(338 Type of Building New Replacement Relocated Addition Repair Demolition * *A separate permit is required Select One: Single Family Residence Modular Other list Proposed Building/Project Number of floors O #new bedrooms existing a total bed P.- #new bathrooms existing ; ,j total bath A .w Heat Source . Select all that apply: 1 baaif2Q r(_L + a �( Electric X Heating Oil Wood ?C Propane x S—t�-s C ) Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft ":"Proposed Sq/Ft n Residential/Commercial Main Floor gResidential/Commercial •-cond F o. 1l0 2 Additional Floors-heated/unheated Basement-unfinished Basement-finished space or habitable Detached Garage- heated/unheated Attached Garage-heated/unheated . r. Garage 2nd fl- unfinished storage 1Ths411:/) ` ��` �� .Garage 2nd fl-finished space or habitable ! �`��,Carport-2 walls or less f'`� 'j FEB 2015 Deck-uncovered `' 1 �' Covered porch 1. ED .��COUN��y"`J�� r, Other(shed, barn, pole bldg,etc.) posit, lTYDEV 1.,: Estimated Cost of Project (Required): $ � � S List existing buildings on property(i.e-house,garage, accessory dwelling unit, shed, barn, mobile home,other): All Existing Buildings on Property Use (AS . X 1 7 t+( c c Defied U p sr — , �' '-r- covl n-2ct v, ��1 tx',J-c 17,,��' 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 to this application and subsequent permit issuance. Signature: N— Print Name: 16fl Na 'V Ut Date: Estimated Cost of Project $ � � n 5 r =r 7 7 s^" 9 *^ cam (tx_.. ss. �.�� ,«a+'''- ; � ter a �t d a,+`r da � Building Base Fees Building Base I °C) Plan Check Review Land Use Review ._., Septic Review $86,00 Potable Water • Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Road Approach Total Fees 0-00(40 ' O Receipt # Date: Cash/Check/CC: Parcel Details I Page 1 of 2 r _ #.6,,,,.. ie r .v, IJefferson ,,,..,,__ . s.....„ , w e. 1 Home :Mw County Info '•Departments i- Search 1 Parcel Number: 964700038 SEARCH Parcel Number: 964700038 Printer Friendly r-- Owner Mailing Address: n DOUGLAS H LA BARRE TRSTEE -_ ��Jn E DULANIE E LA BARRE TRSTEE T� D & D LA BARRE FAMILY TRS _ j 17 206 S BLANCHE ST FED 4 20 OJAI CA93023-3236 2015 ?Lill', '� Site Address: IP' 10 WINDSHIP DR �� r PORT TOWNSEND 98368 Section: 27 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Tri-Area (4) Sub Division: 9647 - KALA POINT 1&2 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: KALA POINT #1 LOT 38 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info "-R- Jefferson ounty HOME ( COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?PARCEL NO=96470003 8 2/4/2015 Cases Associated with a Parc. Page 1 of 2 III z J s County- t vitt,,,,... , P ''t Home County Info r„Departments Search Cases Associated with Parcel No: 964700038 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. Case Number SEP15-00006 Description Last Name LA BARRE TRSTEE Received Date 1/27/2015 10:13:44 AM No Images Case Number BLD01-00209 Description NO MLA REQ'D - ENCLOSE CARPORT Last Name MORRISON Received Date 4/11/2001 No Images Case Number BLD97-00116 Description PROPANE TANK INSTALLATION Last Name MORRISON Received Date 2/27/1997 No Images Case Number SOM76-00088 Description Last Name LA BARRE TRSTEE Received Date 2/18/1976 No Images Case Number SEP76-00088 Description Last Name MORRISON Received Date 1/26/1976 Images http://www.co.jefferson.wa.us/commdevelopment/ppquery/cm.asp?value=964700038 2/4/2015 Cases Associated with a Pare Page 2 of 2 £a "`F I ff.r :° w I t` HOME I COUNTY INFO [ DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later gjWindows- Mac http://www.co.jefferson.wa.us/commdevelopment/ppquery/cm.asp?value=964700038 2/4/2015