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HomeMy WebLinkAboutBLD1996-00409 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0409 DATE RECEIVED. : 07/02/96 SITE ADDRESS: 663 OLYMPUS BLVD :PORT LUDLOW, WA 98365 APPLICANT. . . :ANDREW THOMPSON PHONE: MAILING ADDR: 663 OLYMPUS BLVD ( , 1 7 - if{o O L :PORT LUDLOW WA 98365 �(l CONTRACTOR. . :OWNER PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. . . : 978900087 ALT: CON : ©itt- LEGAL DESC. . : STR 04-28-01 EWM, TAX # 231 BY : DATE: •i. cat„ LOT 81, BLOCK , OLYMPUS BEACH WATER: DATE: DESCRIPTION OF IMPROVEMENT: BEDROOM EXPANSION CVO G A'S 7' tg'a 6 AIL BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 102 sf TYPE OF IMPROVEMENT:ADD EXIST. : 2 EXIST. : 1 ADD'L FL. . : 0 sf GARAGE/CARPORT PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 2 TOTAL. : 1 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . :CON OTHER • 0 sf TYPE OF CONST WATER SUPPLY. :PUBLIC 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. $: 5269 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 3530 SH SETBACK: 0 ft Owner/agent A P P R O A FEES Signature: type amount by date recpt PRMT $ 112 . 25 EMH 07/02/96 1123231 Date: !CT 5(, v'• PLCK $ 33 . 68 EMH 07/02/96 1123231 B.C. $ 4 . 50 EMH 07/02/96 1123231 Issued By: ,� i vaunt Pla nin: ding Department Date: �• $ 150. 43 TOTAL I _ . , . , . , . JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # 'BLD96-0409 DATE ISSUED. : 10/15/96 SITE ADDRESS: 663 OLYMPUS BLVD :PORT LUDLOW, WA 98365 APPLICANT. . . :ANDREW THOMPSON PHONE: MAILING ADDR: 663 OLYMPUS BLVD :PORT LUDLOW WA 98365 CONTRACTOR. . :ABR CONSTRUCTION PHONE: 360-385-4326 MAILING ADDR:802 TAFT ST :PORT TOWNSEND WA 98368 CONTR. LIC #:ABRCOC*053L2 EXPIRATION DATE: 08/14/97 LOAN LENDER. : MAILING ADDR: • PARCEL NO. . . : 978900087 LEGAL DESC. . : STR 04-28-01 EWM, TAX # 231 LOT 81, BLOCK , OLYMPUS BEACH DESCRIPT N OF IMPROVEMENT: BEDROOM EXPANSION ( L Foo o3h�g/Setback s (Shoreline Setback) : k) : L 7 //-D2s -�6 f jam. ( L<Foundation: G id-23 .-'ie g .-ct_ LA.) ( ) Underground Plumbing/Underground Insulation: ( Z1 raming/Pl mbing/Chimney: p4_ -:2.L --4"7 ( nsulation: a k „2-�2 6 - 9 7 Vim_ u.,'�-,k ( v)---Sheetrock: d,_ 3-3-1?? ( ve Final/Occupancy Approval: Old 5/2e/ej 7 9 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. JEFFERSON COUNTY.PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 BUILDING PERMIT APPLICATION ga96... oyog i. PROJECT DESCRIPTION: I-0 C� YY1 ( �7a f 1 I U r) b� BUILDING TYPE: PROJECT TYPE: FRAME TYPE: SINGLE FAMILY ❑ NEW 14 WOOD ❑ GARAGE ATTACHED/DETACHED [A ADDITION ❑ STEEL ❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE ❑ COMMERCIAL ❑ REPAIR ❑ MASONRY ❑ MULTI FAMILY/# OF UNITS ❑ DEMOLITION ❑ OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: I TYPE OF SEWAGE DISPOSAL: EXISTING cc EXISTING I ❑ SEWER ❑ COMMUNITY SYSTEM PROPOSED e 1 PROPOSED 0 INDIVIDUAL SYSTEM Xonventional TOTAL \. TOTAL ! PERMIT # SEP ❑Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL /, ELECTRICITY ❑ OIL '{� PUBLIC Name of water system:J ..-(I.v', �'U C 11�t ,•(_rk,1 ❑ WOODSTOVE ❑ PROPANE c� { Cr [1- ❑ HEAT PUMP ❑ OTHER: -y"�r , , SQUARE FOOTAGE: FOR OFFICE USE ONLY MAIN FLOOR f I0 2- add( uo r /� / USC OCCUPANCY GROUP 2ND FLOOR -_J oC(yq 6-^'•EASE FEES ° 3RD FLOOR 8 4 HTD BASEMENT PLAN.!CHECK UNHTD BASEMENT STATE SURCHARGE / :.4.50 CARPORT SUBTOTAL / , T GARAGE POTABLE WATER ---yam! DECKS 9I1/ROAD APPROACH. COMMERCIAL 5� GRAND TOTAL: INDUSTRIAL RECEIPT # OTHER TOTAL VALUATION CAS CK _ .tr `" or .INITIAFS ESTIMATED COST �►� i� DATE E• IF WATERFRONT PROPERTY, /� /� DISTANCE TO BANK OR HIGH WATER LINE AIP- ft BANK HEIGHT A ft SIGNATURE afrt.e..4 ) DATE 7_ /-- f (' NAME (PLEASE PRINT) '4 citir 7h Owt.p,0''L H:Home\PIncntr\Forms\BIdspp.DOC 4/98 „O \ p f a< el., E'XPec-fe, 0 ?Q drar,neld - . 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Is there any standing or running water on the surface of the x YES NO property or on any nearby property at any time during the year? If YES, please describe: 4 1djo,vrn /9 rope✓/j / ilje wesf /?4 ci pGLI4re — 1:74. /ow Po,nf- r,,'a lee- co/teofr . /0 1�t'I_sea s pond " abo,f /0 acrgsl. au Yin, er lee e d rain pertuds 2. Has any portion of the property or any nearby property ever been _YES X NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present X( YES NO on your property or adjacent properties? If YES, please describe: Some alders off adfoini'n� pro/e/75 Jo iWv' 4. Are there any indications on any portion of the property or on any _YES X 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 P o o ❑ I / / . .' I / / / / / / , , / . . . . .0 I / / . . . . , I . . . . , I1 / // 1 1 fl, , , / / / / I , , . . . / , , i / i / � �ii . , , ' .❑ 4 n // ii ,' ' , i . . ,.. . ...,„ 1/11 / , , ,, � .p I 1 I r ...i, --- mia/,, -- -- -❑ xuiv,. -- - -- �- --O ❑ (Questionnaire Continues on Back) • 6. Does the site have steep slopes with little to no vegetation? YES _X_NO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES _K NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES X 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. at4V/NSignature Date L' ( J G' FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELYADJACENTTO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: