HomeMy WebLinkAboutBLD2004-00446 4 UILDING PERMIT APPLICA•N MLA04-00401
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00446 Received Date: 6/30/2004
SITE ADDRESS: \WALDEN LN
PORT LUDLOW, 98365
OWNER: TODD N COLEBROOK PHONE: (360)437-7716
CYNTHIA F COLEBROOK
21 BARQUE LN
PORT LUDLOW WA 98365-9729
SUBDIVISION: PORT LUDLOW NO 6 Block: Lot: 2
PARCEL NUMBER: 821085002 Section: 8 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 SCHWECI001 BG Expires 1/11/2006
REPRESENTATIVE: LINDBERG & SMITH ARCHITECTS PHONE: (360)452-6116
319 S PEABODY ST STE B
PORT ANGELES WA 98362
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE & DECK(S)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,930
VALUATION 350,000.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 1
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 1,039 SHORELINE:
CONST TYPE: DECK: 1,204 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 4 Seismic Streams
Total: 3 Total: 4 Flood Way Floodplain
Routing Date: V. F&W Landslide
i l Q Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: -. -r rc Ua�e V,E D
Permit $2,393.75 KAS 06/30/04 66513
Plan Check $1,555.94 KAS 06/30/04 66513
State Building Code $4.50 KAS 06/30/04 66513 SEP 1 20011
Potable Water Application $52.00 KAS 06/30/04 66513 Jefferson County PI ,.1!-;,, 1
Total: $4,006.19 & Building pepar�, r;: ,
Lit �f6
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III Jefferson County nt of Conununuty Development
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�, 621 Sher�lan Street,Port Townsend WA 08368[3601316-4450
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permolpt ►',yApp
B uu'ding Type: Pr91ect Type: Frame Type:
V Single Family fry New jit Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Chhpose one:
Existing: Existing: [B'Sewer ❑ Community System lectricity ❑ Oil
Proposed: 4 Proposed: _ ❑ Individual System ❑ Woodstove ❑ Propane
Total: Li 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:
Square Footage: Office Use For Office Use Only /
Main Floor 2.930 2(402. (o (5,90 �
Consistency Review
2ND Floor Base fee 2.3 9 3, 7S
3rd Floor Plan Check fee I S 5 5' Q
. /
Htd Basement State Surcharge fee <I - SO
Unhtd Basement Q q Subtotal LI O 0 2 - 1 9
0 3 1 Li 1 . Z� Pot Water Review fee c'D
Garage/Carport ,, `` Z� S,
Decks (c-0`"I 2. 31?• 2_8' 911/Rd Approach fee l P yr 00
Commercial i C ,- TOTAL T Z 3 f A ( 1
Industrial _ ' 'q I �/�,,,//
3 I S Receipt# S7 3
//b&
Other Cash/Check# ( 2 ql S
Initials i /l/
Date ((v��6/30 7o V
Estimated Cost: �q/
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 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 en 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 to pp'cant's pro r or structure shall be requested and shall occur during regular business hours.Signature: � Date: �/3a/0 r 4
OVER ►
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