HomeMy WebLinkAboutBLD1998-00286 JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD98-0286 DATE RECEIVED. : 05/13/98
SITE ADDRESS: 21 DEER RIDGE
:PORT TOWNSEND, WA 98368
APPLICANT. . . :RUDO VAN LELYVELD PHONE: 385-7218
MAILING ADDR: 21 DEER RIDGE
:PORT TOWNSEND WA 98368
CONTRACTOR. . : PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. : 001292011 landslide _ plat cond -- wetland -- flooding
LEGAL DESC:STR 29-30-01 W WM seismic _ streams erosion _ f & w _
LOT , BLOCK , TAX #54 aquifer recharge
DESCRIPTION OF IMPROVEMENT: DECK
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :ALT OTHER 0 sf
TYPE OF CONST • WATER SUPPLY. :2WELL CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 159 sf
DIMENSIONS: COMMERCIAL: 0 sf
FRAME TYPE: INDUSTRIAL: 0 sf
EST COST. $: 1590 BANK HT. . . : 0 ft
PROJ GRP. . : 9482 SH SETBACK: 0 ft
Owner/agent FEES
Signature: p type amount by date recpt
" PRMT $ 51. 25 EMH 05/13/98 2017
Date: � PLCK $ 15. 38 EMH 05/13/98 2017
Issued B M1, ' 1 1 98 B.C. $ 4 . 50 EMH 05/13/98 2017
Y:
s
.:,,If4x, Dmnty Fl,iu;i„g
Date:
(bld_appl.txt 4/98)
71. 13 TOTAL
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368
BUILDING PERMIT APPLICATION
PROJECT DESCRIPTION: DEG 1‹. 1 N GARDr •I
BUILDING TYPE: PROJECT TYPE: FRAME TYPE:
❑ SINGLE FAMILY 0, NEW ❑ WOOD
❑ GARAGE ATTACHED/DETACHED ❑ ADDITION ❑ STEEL
❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE
❑ COMMERCIAL ❑ REPAIR ❑ MASONRY
❑ MULTI FAMILY//t OF UNITS ❑ DEMOLITION ❑ OTHER
❑ INDUSTRIAL
❑ OTHER DEC-
BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL:
EXISTING EXISTING ❑ SEWER ❑ COMMUNITY SYSTEM
PROPOSED PROPOSED ❑ INDIVIDUAL SYSTEM ❑Conventional
TOTAL TOTAL PERMIT # SEP9",a3 )4Iternative
WATER SUPPLY: TYPE OF HEAT:
jit PRIVATE WELL j0 PARTY WELL ❑ ELECTRICITY ❑ OIL
❑ PUBLIC Name of water system: ❑ WOODSTOVE ❑ PROPANE
❑ HEAT PUMP ❑ OTHER:
SQUARE FOOTAGE: FOR Ok'r.LCE USE ONLY
MAIN FLOOR
UBC OCCUPANCY GROUP
2ND FLOOR
BASE .FEE / r45
3RD FLOOR
HTD BASEMENT PLAN CHECK /
UNHTD BASEMENT STATE SURCHARGE 4.50<
CARPORT SUBTOTAL 7/,
GARAGE POTABLE WATER -�
DECKS 5cA
' 9II/ROAD APPROACH
COMMERCIAL f
GRAND TOTAL
INDUSTRIAL
RECEIPT # 9
OTHER Jj}
TOTAL VALUATION
CAS CK # /'f''f/
, INITIALS /1
ESTIMATED COST 1 , S�D
DATE � I t '7
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WAT ' LINE ft BANK HEIGHT ft
SIGNATURE �j:/ /iggf . _, . DATE 5 " 1 3 9(.3'
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JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center w„..,1 �� y
Castle Hill Mall ?
621 Sheridan St. s
Port Townsend, WA 98368 = L�
360-379-4450
nu
PERMIT # •BLD98-0286 DATE RECEIVED. : 05/13/98
SITE ADDRESS: 21 DEER RIDGE
:PORT TOWNSEND, WA 98368
APPLICANT. . . :RUDO VAN LELYVELD PHONE: 385-7218
MAILING ADDR: 21 DEER RIDGE
:PORT TOWNSEND WA 98368
CONTRACTOR. . : PHONE:
MAILING ADDR:
•
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. : 001292011 landslide _ plat cond _ wetland _ flooding
LEGAL DESC: STR 29-30-01 W WM seismic _ streams _ erosion _ f & w _
LOT , BLOCK , TAX #54 aquifer recharge
DESCRIPTION OF IMPROVEMENT: DECK
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
/TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT • PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :ALT OTHER 0 sf
TYPE OF CONST • WATER SUPPLY. : 2WELL CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES: O HEAT TYPES. : DECKS • 159 sf
DIMENSIONS: COMMERCIAL: 0 sf
FRAME TYPE: INDUSTRIAL: 0 sf
EST COST. $ : 1590 BANK HT. . . : 0 ft
PROJ GRP. . : 9482 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 51. 25 EMH 05/13/98 2017
Date: PLCK $ 15. 38 EMH 05/13/98 2017
B. C. $ 4 . 50 EMH 05/13/98 2017
Issued By:
Date:
(bld_appl.txt 4/98)
-\4 �+i .� $ 71. 13 TOTAL
.
• •
JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD98-0286 DATE ISSUED. : 05/22/98
SITE ADDRESS: 21 DEER RIDGE
:PORT TOWNSEND, WA 98368
APPLICANT. . . :RUDO VAN LELYVELD PHONE: 385-7218
MAILING ADDR: 21 DEER RIDGE
:PORT TOWNSEND WA 98368
CONTRACTOR. . : PHONE:
MAILING ADDR:
•
CONTR. LIC #: EXPIRATION DATE: / /
LOAN LENDER. :
MAILING ADDR:
PARCEL NO. . . : 001292011
LEGAL DESC. . :STR 29-30-01 WWM, TAX # 54
LOT , BLOCK ,
DESCRIPTION OF IMPROVEMENT: DECK
( ) Footing/Setbacks (Shoreline Setback) :
( ) Foundation:
( ) Underground Plumbing/Underground Insulation:
( ) Framing/Plumbing/Chimney:
( ) Insulation:
( ) Sheetrock:
( ) Final/Occupancy Approval: p
(bld_prmt.txt)
THIS PERMIT 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.