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HomeMy WebLinkAboutBLD2004-00100 •UILDING PERMIT APPLICAIt- N BLD97-00466 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00100 Received Date: 2/18/2004 SITE ADDRESS: 85 CONIFER CT PORT LUDLOW, 98365 OWNER: MIKE R PORTER PHONE: (360)437-4161 CAROLE A PORTER 85 CONIFER CT PORT LUDLOW WA 98365-8755 SUBDIVISION: WOODRIDGE VILLAGE DIV 1 Block: Lot: 3 PARCEL NUMBER: 999700003 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-7119 6727 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License SCHWECI001BG Expires 1/11/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI INTERIOR REMODEL/ADD LOFT - NO MLA REQ TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 3,650 VALUATION 17,299.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: ,.1 nn ? F&W Landslide 1' Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $293.25 KAS 02/18/04 62658 AP PR 0\/E 1) Plan Check $190.61 KAS 02/18/04 62658 1� State Building Code $4.50 KAS 02/18/04 62658 AAR 1 2004 Total: $488.36 Jefferson County Planning & Building Department , i I gCta/bl ' ki, 'd'(44Yeg7 '•I s g ozu ° Jetfe Co Departm�t of Community Develop! icy °� 621 Sheridan Street,Port Town )WA [ ]31D-! 20( ��. � � O A o0\113- os8OCflGDFEB , S Project Description: Building Type: Project Type: Frame Type: [/YSingle Family 0 New ©'Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel 0 Modular Cs3-Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: 2�f Choose one: Existing: Z Existing -mil ❑Sewer 2,Community System B Electricity 0 Oil Proposed: Proposed: C-. ❑ Individual System ❑ Woodstove ❑ Propa Total: Total: ? y n If not sewer,fill out the following: 0 Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: / ❑ Private well ❑ Two Party Well❑Public:Name of water system: .-7` 1. Square Footage: '--•- For Office Use Only Main Floor - /.'1-C «Zcttt_'-c:) - ikt . Consistency Review 2ND Floor Base fee Z cl 3.Z5 3rd Floor o CC Plan Check fee—65/o ( 0 Htd Basement State Surcharge fee 4-t7`> Unhtd Basement ! Subtotal Garage/Carport =, Pot Water Review fee C5 Decks 911/Rd Approach fee 6 Commercial TOTAL 4- e Industrial Receipt# 4 7 Sg Other Cash/Check# (!(;,(T Total Valuation: Initials /P Or Date /'/(g7� Estimated Cost: / 83?JC2 �� ` If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or omission of a material fact made by the applicant/owner 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 aca 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 it's employees,representatives or agents for the purpose of application review and any required later inspecti Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.Signature. Date: `/// /2/4 OVER 0 H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpernutApplication 11-8-01 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00100 Received Date 02/18/2004 SITE ADDRESS: 85 CONIFER CT Issue Date 03/2/2004 PORT LUDLOW, 98365 APPLICANT: MIKE R PORTER PHONE: (360)437-41 CAROLE A PORTER 85 CONIFER CT PORT LUDLOW WA 98365-8755 SUBDIVISION: WOODRIDGE VILLAGE DIV 1 Block: Lot: 3 PARCEL NUMBER: 999700003 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-711 6727 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License: SCHWECI001BG Expires: 01/11/2006 PROJECT DESCRIPTION: INTERIOR REMODEL/ADD LOFT - NO MLA REQ REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : ix Framing: f 1 Plumbing: [ ] Propane Tank/Lines: [4 Insulation: Net Sheetrock: [ ] Septic Sytem Final Approval: f 1 Road Approach Final Approval: [ ] Zoning Final Approval: NI Final/Occupancy Approval: L,eurtn.'A.4 HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTIOI THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Buildng.rpt 10/29/19 ig -7/••/•••111 / • . •lit. • A . 4 1 , ‘5* dip 4100 ._ 04) viri • ° IX . 1 , P 111 ' A • • I, „ va. ' %.1 . . . . • • •• I 0 i • - giC)wil• 1 . lo , 1°0* , • • . . I I e ,.......y , .. .. sis• , " ...,, . . . \ • , ••••• ...., : •.!. ,. . .• , • . I . . E . • di ** \; P : . ,,..,,... 410 to . 11 11: in • 0 (•\.\\) / ..1 • -- 0 . LiNIMMIIIMMENIIIMMV ■ ■ 73 9� O 'Tt m UO 00 On v SO rn N s rn ---- 0 X CJ1 >: ? S;n r I l y Cif rn Cl 70 zy 1 7o 3 Ily �7Z oz5 z��� �N„fTl Ow to rn�zcn o.-1 Ilirn ��o� cr o0 x I�III Z � II I II Forter Residence 85 Conifer Court Port Ludlow. Washington 98365 � N I �I I �I nl 770 A �I 7o7ocv I o 70A o TI z QI �I pl �I I -tea architecture - planning MiKF Smoemw 4� 910 N. 1091h Street ARCHrYECT Seattle, NAshington 98133 'r� phone: 206.851.9489