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HomeMy WebLinkAboutBLD1995-00145 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0145 DATE RECEIVED. : 03/27/95 SITE ADDRESS: 631 MONTGOMERY LN :PORT LUDLOW, WA 98365 APPLICANT. . . :EDMA' DEVELOPM NT KLsGvl "7T0t,•,. f J u-.PHONE: 360-437-9326 MAILING ADDR: 60 DU , 'D J l��, S a.-..t, 'J a.l $"'ti ---:SORT LUDL• WA 98365 CONTRACTOR. . :EDMAR DEVELOPMENT PHONE: 437-9326 MAILING ADDR: 60 DUNSMUIR RD :PORT LUDLOW WA 98365 CONTR. LIC #: EDAMRD*066B0 EXPIRATION DATE: 01/20/96 ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 990400253 ALT: �J CON : LEGAL DESC. . : STR WM, TAX # BY: DATE: LOT 53 , BLOCK , PORT LUDLOW #1 WATER: N7 ,-r. DATE: CAR : DATE: DESCRIPTION OF IMPROVEMENT: Sunroom addition 0 p BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:AD- EXIST. : 4 EXIST. : 3 ADD'L FL. . : 0 sf GARAGE/CARPORT • PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 4 TOTAL. : 3 UNHT BSMT. : 0 sf -- 0A UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER • 192 sf TYPE OF CONST • WATER SUPPLY. :CITY CRPT/GAR. . : 0 sf UNITS. : 0 STORIES: 0 HEAT TYPES. :EEE/ / DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 1920 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 6557 SH SETBACK: 0 ft Owner/agent 4 ,7 ---- 7''' FEES Signature: 14 type amount by date recpt PRMT $ 45. 00 AW 03/27/95 106311 Date: it , 1 --,,- MM,, PLCK $ 13 . 50 AW 03/27/95 106311 Issued By: 111111111 B. C. $ 4 . 50 AW 03/27/95 106311 Date: Bu dit N ,, ,, _ °``- $ 63 . 00 TOTAL 3 ta 1Q s -' .V`- JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0145 DATE ISSUED. : 03/30/95 SITE ADDRESS: 631 MONTGOMERY LN :PORT LUDLOW, WA 98365 APPLICANT. . . :JON&SHARON RESECK PHONE: 360-437-9326 MAILING ADDR: 60 DUNSMUIR RD :PORT LUDLOW WA 98365 CONTRACTOR. . :EDMAR DEVELOPMENT PHONE: 437-9326 MAILING ADDR: 60 DUNSMUIR RD :PORT LUDLOW WA 98365 CONTR. LIC #: EDAMRD*066BO EXPIRATION DATE: 01/20/96 LOAN LENDER. : MAILING ADDR: • PARCEL NO. . . : 990400253 LEGAL DESC. . : STR EWM, TAX # LOT 53 , BLOCK , PORT LUDLOW #1 DESCRIPTION OF IMPROVEMENT: Sunroom addition/Unheated ( 1-,rFootin /Setbacks (Shoreline Setback) : ( w-2 - ( ) Underground Plumbing/Underground Insulation: ( ✓f(ramif Plumbing/Chimney: ca -�3 -gam '4..�.-a_.,.)•�&, ( ) Insulation: ( Karai )�Shee rock Q ( Final/Occupancy Approval: " / �► r y THIS HERMIT IS VALID FOR ONE YEAR. 24 Hour Recorder for Inspections CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS Office Hours 9 a.m. to 4 : 30 p.m. Inspector' s Phone Hours 8 - 9 a.m. Jefferson County Permit Center Date 621 Sheridarf Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # - - r Applicant Name fco\ r. - -IE: Building Application Land Use Application Shoreline Application On-site Sewage Application _ Subdivision Application _ Other: 1 . Is there any standing or running water on the surface of the YES V NO property or on any nearby property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been YES NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present 'u YES NO on your property or adjacent properties? If YES, please describe: ha.�`t ' D 1A 4. Are there any indications on any portion of the property or on any YES y NO nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) 0 0 4 4 0 0 ❑ / r , / / / ,' / I / / / .' ,- I / / / / / . , ,' iiiiii,' ' / '' Mir rr„iii , rr„iii /,/ (Questionnaire Continues on Back) 6. Does the site have steep slopes with little to no vegetation? YES K NO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES _NO surface of the ground? If YES, please describe: The applicant hereby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson County based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. Signature ' c �` ,2,. Date FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR El Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: ,&zt 95-"-- d iq *JEFFERSON COUNTY BUILDING PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE 4� SINGLE FAMILY ❑ NEW BUILDING ❑ MOBILE ADDITION 500+1500 ❑ MODULAR ❑ ALTERATION ❑ GARAGE ATTACHED/DETACHED ❑ REPAIR ❑ WOODSTOVE ❑ DEMOLITION ❑ MULTI-FAMILY/UNITS ❑ RELOCATION ❑ COMMERCIAL ❑ INDUSTRIAL ❑ HOTEL/MOTEL/DORM/UNITS ❑ OTHER � UBC OCCUPANCY GROUP � DESCRIPTION OF IMPROVEMENT: a N "[�"� U( SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL MAIN FLOOR `-'' ELECTRICITY ❑ OIL 2ND FLOOR ❑ WOODSTOVE ❑ GAS 3RD FLOOR ❑ HEAT PUMP ❑ OTHER HTD BASEMENT UNHTD BASEMENT CARPORT PRINCIPLE TYPE OF FRAME GARAGE DECKS 0( WOOD ❑ MASONRY COMMERCIAL ❑ MANUFACTURED ❑ OTHER INDUSTRIAL l 1 ❑ STRUCTURAL STEEL OTHER- 0 vt/200M I Z.,c(6 .. A Z_ TOTAL VALUATION 41211,4SX I C1)--(...- . ._ - or ESTIMATED COST MAXIMUM HEIGHT !G �{ ❑ INSTALLED 19_ TYPE OF SEWAGE DISPOSAL: SEWER ❑ SEPTIC SYSTEM SEPTIC PERMIT NUMBER TYPE OF WATER SUPPLY: PRIVATE ❑ DRILLED WELL OTHER PUBLIC % CITY OTHER: NAME ❑ PUD STATE I.D. NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS 3 NUMBER OF PROPOSED BEDROOMS Q NUMBER OF PROPOSED BATHROOMS 0 TOTAL NUMBER OF BEDROOMS Gk TOTAL NUMBER OF BATHROOMS IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER J '---^ BANK HEIGHT SETBACK FRONT SETBACK SIDE SETBACKS / REAR SETBACK SIGNATURE ,:° ( 7141,44.141-1-: DATE efa'K-''"` 2-7 r APPLICANT NAME (PLEASE PRINT) Gl 'tA ' c4 'Al-42-E:, FOR OFFICE USE ONLY TYPE OF ACCESS RD ❑ Primary Arterial ❑ Secondary Arterial ❑ Collector ❑ Access FOOTPRINT (incl decks over 30" from ground) LOT COVERAGE (footprint divided by total sq ft of property) BASE FEE ` b 0 PLAN CHECK t3_' -) RECEIPT # 1 6i; 2t C _ STATE SURCHARGE 4.50 DATE 4 (7,--i-I`Lc RADON KIT 1 TOTAL LSJ r� V U CASHCHEI K#j 39 is L h:\HOME\PLNCNTR\FORMS\bldapp.frm ° " v 3 n ° r+ D ❑ ❑ 0 0 0 0 0 ❑ 0 0 0 0 0 r+ v, m r- _ _ ...-% C7 - _ _ _ _ v co = 0 O) U I h W N CD CO v Cr) Cft A W N 7 CD CD -.I CD ?O o O o D - o y mm o x v 7.o y co , CD v °' o cn o r C S CD ° < N CD 7 m 7 •'< C-D -, c o 7 — y r+ G7 -* °' ° < _' y CD 7 n t3 a 7 0' Cr * ; 7 a CD -i ° 3 -, v C tv o Co CD C -7i -1 . °' co iv m O --h C ,+' n (° ° V' C co a O O E CD x m- ° 7 ° 7 s CD c o 7 y a cD 3 N O a 7 f7 ° .�-' l0 _ 7 n O ry_+ .° Cn 6 Cv .-r CD. 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