HomeMy WebLinkAboutBLD2004-00192 UILDING PERMIT APPLICA PON BRD04-00Typ 92
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00192 Received Date: 3/25/2004
SITE ADDRESS: 231 PUGET LOOP
PORT LUDLOW, 98365
OWNER: PATRICIA L HANNAN TRUSTEE PHONE: (360)437-2722
PATRICIA HANNAN LIVING TR
231 PUGET LOOP
PORT LUDLOW WA 98365-8794
SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 102
PARCEL NUMBER: 990400498 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: VILLAGE CRAFTSMAN, THE PHONE: (360)437-0382
4460 OAK BAY RD
PORT LUDLOW WA 98365
Contractor's License VILLAC*088NE Expires 8/5/2001
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DECK REPAIR - NO MLA REQUIRED
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION 7,050.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 570 SETBACK:
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: F&W Landslide
345..... �� Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: IAPPlitni En
Permit $153.25 KAS 03/25/04 62788 €
Plan Check $99.61 KAS 03/25/04 62788
State Building Code $4.50 KAS 03/25/04 62788 MAR 3 1 2004
Total: $257.36 Jefferson County Planning
& Building Department
,tor 6-1:2
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00192 Received Date 03/25/2004
SITE ADDRESS: 231 PUGET LOOP Issue Date 03/31/2004
PORT LUDLOW, 98365
APPLICANT: PATRICIA L HANNAN TRUSTEE PHONE: (360) 437-2722
PATRICIA HANNAN LIVING TR
231 PUGET LOOP
PORT LUDLOW WA 98365-8794
SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 102
PARCEL NUMBER: 990400498 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: VILLAGE CRAFTSMAN, THE PHONE: (360)437-0382
4460 OAK BAY RD
PORT LUDLOW WA 98365
Contractor's License: VILLAC*088NE Expires: 6/11/2005
PROJECT DESCRIPTION: DECK REPAIR- NO MLA REQUIRED
REQUIRED INSPECTION
[ ] SETBACKS: _ Ili A
[ ] UFFER: /1A
[ ] Footing: dk 44.441A4
[ ] Foundation: IV�A
[ ] Underground Plumbing: /J A
[ ] Underground Insulation: N/A
[ ] Shear Wall : N/A
[ ] Framing: 4/2 , '
f 1 Plumbing: u/A
[ ] Propane Tank/Lines: N/A
[ ] Insulation: AO
f 1 Sheetrock: AJ/A
[ ] Septic Sytem Final Approval: N/
f 1 Road Approach Final Approval: il!/A
[ ] Zoning Final Approval: NA
f 1 Final/Occupancy Approval: f)e 41;.�7 CLe
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION C ION
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
ggON c°� Jefferson Cant :fitment of Conmw�ty Developing
,� , a� 021 Sheridan street,Port rower WA 88368 MOW 378�450
re'
41.s r M ii t
A - peiDOc 0�N r 0 p
Building Type: Project Type: Frame Type:
❑ Single Family ❑ New
Wood
❑ Garage Attached/Detached ❑ Addition 0 Steel
❑ Modular ❑ Alteration/Remodel 0 Concrete
❑ Commercial
Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial C
iLe--Ck.
AOther:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑ CommunitySystem Y ❑ Electricity ❑ Oil
Proposed: Proposed:
Total: ❑ Individual System ❑ Woodstove ❑ Propane
Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system: I
Square Footage: Office Use For Office Use Only
Main Floor Consistency Review
2ND Floor
Base fee ( -j 3 - aS
3rd Floor Plan Check fee 9 9 ) Co
Htd Basement State Surcharge fee 4- SD
Unhtd Basement Subtotal ( 3 /• 3('
Garage/Carport Pot Water Review fee
Decks 7 0 911/Rd Approach fee
Commercial TOTAL S7,3?
Industrial Receipt# & 7F?
Other Cash/Check# /00517
• — -- tr. Initials
��r 17 021.
Date 3� /��
Estima#ed ost: "
If withinin 2 o t e 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 any
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 attomey's 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 it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry t pplicant's property or structure shall be requested and shall occur during regular business hours.
Signature:
S =' `- , v! Date: -3 c27 -)//7 ,7
OVER ►
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