HomeMy WebLinkAboutBLD2004-00479 UILDING PERMIT APPLICASN BLLD94-00p215
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00479 Received Date: 7/16/2004
SITE ADDRESS: 1260 E LUDLOW RIDGE RD
PORT LUDLOW, 98365
OWNER: KENNETH D LYKKEN PHONE: (360) 437-0121
SUSAN HUTCHASON LYKKEN
1260 E LUDLOW RIDGE RD
PORT LUDLOW WA 98365-9534
SUBDIVISION: Block: Lot: T11+
PARCEL NUMBER: 821103007 Section: 10 Township: 28 N Range: 01 E
CONTRACTOR: SUNDANCE SOLAR PHONE: 888-373-1974
3301 HWY 16
PORT ORCHARD WA 98366
Contractor's License SUNDAS*066MG Expires 5/19/2004
REPRESENTATIVE: STEVE PAYSON PHONE: (360) 373-1974
3301 W HWY 16
PORT ORCHARD WA 98367
PROJECT DESCRIPTIOr ENCLOSE DECK TO MAKE SUNROOM - NO MLA REQ'D
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 13,860.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: OGARAGE: 240 SHORELINE:
CONST TYPE: DECK: 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: s�(//
•
F&W Landslide
/ 9/0
y • Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: w 3153e t 7 7--
Permit $237.25 KAS 07/16/04 66535
Plan Check $154.21 KAS 07/16/04 66535 AUG 2 5 'XL)
State Building Code $4.50 KAS 07/16/04 66535
Total: $395.96 Jefferson County ?laPniny
a Building 13606ff[gent
Jefferson County Ortment of Community Development
e, 621 Sheridan Street,Port Townsend WA 00368[360]310-4450
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Project Description: ‘co, OQ r
Building Type: s ��c,2�`<- roject Type: Frame Type:
Single Family �. Pep ,k New Wood ✓
Garage Attached/Detach ;,F4 I Addition a-------- Steel
Modular )'c. Alteration/Remodel Concrete
F'
Commercial Q�O Repair Masonry
Multi-family/#of Units p- Demolition Other:
Industrial
Other: -
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Z Existing: _a — Sewer Community System Electricity ✓-- Oil
Proposed: Proposed: Individual System L— Woodstove Propane
Total: Total: If not sewer,fill out the following: Heat Pump
Conventional Alternative Other
Permit# SEP
Water Supply: I
Private well Two Party Well Public:Name of water system:
Square Footage: For Office Use Only
Main Floor Consistency Review
2ND Floor Base fee L�d 37 •�S
3rd Floor Plan Check fee 5L'! •
/
Htd Basement State Surcharge fee ^l/, c2_ S 0
Unhtd Basement Subtotal 2 / S. 9&
Garage/Carport Pot Water Review fee —(9—
Decks 911/Rd Approach fee o 0—
Commercial TOTAL 1 J, ,b
Industrial Receipt# (9& g3S
Other 5 — ..2'A) 111 Cash/Check# -5.-0,8S
Total Valuation: Initials (/1Z
Or Date CCCCJJJJ 11 /
Estimated Cost: /3 ieCcc9 ( l�/
If within 200' of the Shoreli e,
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 attorney'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 to the applicant's property or structure shall be requested and shall occur during regular business hours.
Signature: Date: 7/(./y
OVER ►
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 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 #: BLD04-00479 Received Date 07/16/2004
SITE ADDRESS: 1260 E LUDLOW RIDGE RD Issue Date 08/25/2004
PORT LUDLOW, 98365
APPLICANT: KENNETH D LYKKEN PHONE: (360) 437-0121
SUSAN HUTCHASON LYKKEN
1260 E LUDLOW RIDGE RD
PORT LUDLOW WA 98365-9534
SUBDIVISION: Block: Lot: T11+
PARCEL NUMBER: 821103007 Section: 10 Township: 28 N Range: 01 E
CONTRACTOR: SUNDANCE SOLAR PHONE: 888-373-1974
3301 HWY 16
PORT ORCHARD WA 98366
Contractor's License: SUNDAS*066MG Expires: 5/19/2005
PROJECT DESCRIPTION: ENCLOSE DECK TO MAKE SUNROOM - NO MLA REQ'D
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
[ ] Footing:
[ ] Foundation:
[ ] Stormwater FINAL Approval:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
Framing: /0%�
1 Plumbing: 1/
[ ] Propane Tank/Lines:
[ ] Insulation:
11 Sheetrock: _
[ ] Septic Sytem Final Approval:
1 Road Approach Final Approval:
[ ] Zoning Final Approval:
[ 1 Final/Occupancy Approval: ( t- `[ -O '07:9 Vim
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
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
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