HomeMy WebLinkAboutBLD2004-00545 libILDING PERMIT APPLICATIA MLA04-00514
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD04-00545 Received Date: 8/27/2004
SITE ADDRESS: ? 5ALPINE CT I
PORT LUDLOW, 98365
OWNER: JAMES R LE CUYER PHONE: (360) 779-7592 (C
JODY A LE CUYER
PO BOX 56
KINGSTON WA 98346
SUBDIVISION: WHITE ROCK COVE TRACTS DIV II Block: Lot: TR2•H
PARCEL NUMBER: 821265033 Section: 26 Township: 28 N Range: 01 E
CONTRACTOR: TERHUNE CUSTOM HOMES INC PHONE: 360-697-7000
PO BOX 97
POULSBO WA 98370
Contractor's License TERHUCH984MA Expires 7/1/2004
REPRESENTATIVE: TERHUNE CUSTOM HOMES PHONE: (360)697-7000
PO BOX 97
POULSBO WA 98370
PROJECT DESCRIPTIOI NEW SFR W/ATTACHED GARAGE
ALSO 250 GAL AG PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,113
VALUATION 239,203.00 ADD'L: 429 HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: LUDLOW PARCEL TAGS: YES S NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 2 Seismic Streams
Total:- 3 Total: 2 Flood Way Floodplain
Routing Date: F&W Landslide
�3ci 0y Shoreline Aquifer
'' Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A proved/Date
Permit $1,777.75 KAS 08/27/04 66743 PRO,
Plan Check $1,155.54 KAS 08/27/04 66743 PROVED
State Building Code $4.50 KAS 08/27/04 66743 SEP 2 9 2004
Potable Water Application $52.00 KAS 08/27/04 66743 Jefferson County Planning
Total: $2,989.79 & Building Department
tie* JEFSRSON COUNTY •
Nikiiii,
DEPARTMENT OF COMMUNITY DEVELOPMENT
4 > 621 Sheridan Street• Port Townsend•Washington 98368
�t# 360/379-4450 . 800/831-2678 . 360/379-4451 Fax III
BUILDING PERMIT SUPPLEMENTAL
CONTACT INFORMATION
;a&tie istoste,meads as esiattletely as fl000dlc:
Project Description:
S r /
; AR l to Ca.. 0 / /Ca,,s/d eACe ,
9 Digit Parcel Identification Number(from your t x statement):
r.
Site Address ��JJ 1
911#: Road Name:irl i ✓,K1°Co e..."1/ Zip Code:
Legal Description , lip LL
Subdivision Name: (.24.../767 /�OC1C Dol t,° T1?LC Block: Lot(s): #04
Parcel Size(acres or square footage):
02..9S',ie_, eS
Property Owner: a 1 Y 4,�G cikj z d i e_ Phone:346/7 7 9—7%r?Zx 7/
Mailing Address: A. D, e OA ��
X/I rsio1., w/1 / 0&446
Applicant/Occupant: Phone:
(if different from owner) C`
Mailing Address: —
Authorized Rep:--t—�Y�� (L2� _^`27 inn Phone:
Mailing Address: 1
General Contractor: TV 1AA_A_Atie_, CC.t c-h Lr . ✓yus 360
Phone:.--2 C)coo
Mailing Address: .) O o u on
1---�cMJ�io0,W G - c13" ---10
Contractor's State License Number.-yyv kasi\c:71.-8 LA w1.0 . Expiration Date: 7/O47
Architect:/EngineerrTfLv\,\ j J m°V\/\ I I rl�-Q S y Phone:
Mailing Address: C,4
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G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004
r- - Jeffirson Carty lopartont of Caamenity Inalopment
Aug. 19. 2004 2:55PM Tr fie Custom Homes IP No. 4470 P. 2
- eirl-1 - 0
prmfft 4 o pllCo0 . .
Bl Family Ncw e: Brame Type:
• : .Si�e 6/'Wood
E] Garage Attached/D•
tmched/D .._.
I I Addition ❑ Steel
AUG 2 7 2004
❑ Modular a Altt radon/Remodel
oC ocost ,
❑ Other;
❑ Mulei-ismly/#of Units JEFFERSON COUNTY !1 DemolDermal= p •
0 Industrial DEPT.OF COMMUNITY DEVELOPMEN 1
❑ Other: •
Bathrooms: Bedrooms: Type of Sewage Disposal Type of Heat
Choose one
Balsdng .�= w _
em ❑ Elec r sty ❑ Oil P $ ed ❑ et 0 SCysounity
tmSystcn 0 Woodstove
ne Total: Total:
If not sewer,till out the folloa+ingt 131lent Pump
❑ Conventional 0 Alternative ❑ aryl
Permit# SEP
Water Supply: 1�..-
❑ Prima well ❑ Two? Well / r Wa ��
"Public Name avatar.•,,,�.. _.
�Q 3 - on
Squate Footage: OfficfjVse Fos Office Um Only
Main Floor 4//..4-4-- /e 73(13' 7 Consistency Review Vii 11 g3,
2ND Floor • V�/ 3�. 5.i.•=a? Base fij44 / 777. 7s it_ .$ '
r a Y?loer --
Plan Check fee 3 et 55., 551
Htd Basement `.-- States Sntrthasge q ! 9f. 54
Unhbd Basement TA)444f1 C Subtotal d9 '5-. 9
`J p e ;
rt '1S //Tb J Pot Water Review fee . es• .
Decks .`--- �•: . '11/RdIt . ac)
c t a _ _r 5?- •TJ i�a(e �. , oil .••
industrial 1011111111P7° t/ � Rvpo# a to 7c/3 • •
Other
940) - Initials " , ,;
q � Date R4G( f 'F • i
Estimated Cost: 2,29,7..Z •i '�' >e t
If within 200'of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height &
e y g 7X 1::made.b y thp Qpy&pellacn9rn/ west e t a wdw ethat e ex i m no e ampapdUocn r ;adcebd e chmeaey in xe ias v l
r pemarn b ate n g tnd l be save Ieami . -Any masoal 6itxhood oe say .
I fathersgise to ave.indemnif and bold baemkss Jefferson County agate=ill Maio,iudgmei,e,court ooae,tmtsonsbta amaraeye[Ins zed owe=which easy in any way Inane
sgestreleftlasna ConntysacrankofasInecwepwaoaoft!eHofthispsemie '
I£vain-sgtteo to provide accuse sad eight oFmny m)eLetsoo Couetty god it's employees.esptesentativn as meats floe the peerage of nip/Lanka revlaw tied any winced}ow Via,
Annesa and rigIi of easy to the pJl�,mQ'spaopcsg or sAad ba eequseted sad ehaA oeostdmugiegular business bows
N. ,ignatlire• , / Date: 7`437/Z a9'
•
OVER
G-\PernitCceta\FORMS\BLDG FORMS\> t T?e,jtAr — D1/0/2004
IL 'EVIG ';DVA
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BUILDING PERMIT Ig _____.
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD04-00545 Received Date 08/27/2004
SITE ADDRESS: 265 ALPINE CT Issue Date 09/29/2004
PORT LUDLOW, 98365
APPLICANT: JAMES R LE CUYER PHONE: (360)779-7592 (C
JODY A LE CUYER
PO BOX 56
KINGSTON WA 98346
SUBDIVISION: WHITE ROCK COVE TRACTS DIV II Block: Lot: TR21-
PARCEL NUMBER: 821265033 Section: 26 Township: 28 N Range: 01 E
CONTRACTOR: TERHUNE CUSTOM HOMES INC PHONE: 360-697-7000
PO BOX 97
POULSBO WA 98370
Contractor's License: TERHUCH984MA Expires: 7/1/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
ALSO 250 GAL AG PROPANE TANK
FEQUIRED INSPECTIONS:
SETBACKS: ak //Neil
0 UFFER: 1 kiIJ&
Footing: 7k ii di
Foundation et /A-
Stormwater FINAL Approval:
[ Underground Plumbing:
Underground Insulation:
[ :
Shear Wall : ' ;014: • _ _ l t a ice_ / /1 1
66 Framing: / dr
Plumbing: COl tv Cc, d/,6tj. -Zh jt� . '`
06 Propane Tank/Lines: r ,6:,,zjz; �,as i,K,es D 2-ya
[ Insulation: A 3/4",y�- >
F1 Sheetrock:40X rq,4514-I Septic Sytem Fin Approval:
Road Approach Final Approval: MA
Zoning Final Approval: AIM-
Final/Occupancy Approval: a-Q n--elo 1/2105,
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
SPECIAL CONDITIONS APPLY -SEE REVERSE
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