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Home My WebLink AboutBLD1997-00024 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD97-0024 DATE RECEIVED. : 01/14/97 SITE ADDRESS: BYWATER WAY :PORT LUDLOW, WA 98365 APPLICANT. . . :MICHAEL MAIBAUM PHONE: MAILING ADDR: 1614 NE 168TH 2 p -3 6 S_6 2 ct7 : SEATTLE WA 98155 CONTRACTOR. . :TERHUNE HOMES INC PHONE: 360-697-7000 MAILING ADDR:PO BOX 97 :POULSBO WA 98370 CONTR. LIC #:TERHUHI133J7 EXPIRATION DATE: 04/27/97 ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. : 821355065 landslide _ plat cond _ wetland _ flooding LEGAL DESC: STR 35-28-01 E WM seismic streams erosion f & w LOT 3 , BLOCK , TAX # WHITE ROCK CV D4 DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE BUILDING TYPE 'RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1943 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT •A PROP. . : 3 PROP. . : 3 HTED BSMT. : 1195 sf WOODSTOVE TOTAL. : 3 TOTAL. : 3 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . :CON OTHER 0 sf TYPE OF CONST WATER SUPPLY. :PUD CRPT/GAR. . : 704 sf UNITS. : 0 STORIES: 0 HEAT TYPES. :HTP/ / DECKS 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 169148 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 8371 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 1237 . 25 EMH 01/14/97 1137512 Date: ,A PLCK $ 371. 18 EMH 01/14/97 1137512 T' r� B.C. $ 4 . 50 EMH 01/14/97 1137512 Issued By: MIE - POT $ 26. 00 EMH 01/14/97 1137512 Date: �® ' , , afferson County Plannlr.g $ 1638 .93 TOTAL & Building Department Y)1/ AMMER JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: t ut i a Ir/ BUILDING TYPE: PROJECT TYPE: FRAME TYPE: lit/SINGLE FAMILY c- NEW /0 WOOD ❑ GARAGE ATTACHED/DETACHED ❑ ADDITION ❑ STEEL ❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE ❑ COMMERCIAL ❑ REPAIR ❑ MASONRY ❑ MULTI FAMILY/# OF UNITS ❑ DEMOLITION ❑ OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING EXISTING 0 SEWER ❑ COMMUNITY SYSTEM PROPOSED PROPOSED 74— Ot, INDIVIDUAL SYSTEM rj ❑Conventional TOTAL TOTAL "� PERMIT X SEP (()02u4 ❑Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL / ❑ ELECTRICITY ❑ OIL PUBLIC Name of water system: / /C !% ❑ WOODSTOVE ❑ PROPANE HEAT PUMP ❑ OTHER: SQUARE FOOTAGE: FOR OFFICE USE ONLY MAIN FLOOR / 9 /� lO 37� / UaC OCCUPANCY GROUP 2ND FLOOR _ .) „ EASE FEE / " �/r< J.. 3RD FLOOR HTD BASEMENT 9 S/ �� /j 73 3 FLAN CHECK .7/-f 5 UNHTD BASEMENT STATE SURCHARGE 4.50 CARPORT SUBTOTAL I / 7 GARAGE 7/- / (9-9(.2(9-9(.2'� POTABLE WATER � C r DECKS / 911/ROAD APPROACH �f 7 GO = � /7 , GRAND TOTAL INDUSTRIAL OTHER RECEIPT # /7 7t /c9— TOTAL VALUATION CASH cx� y Ll/ or /�� - INITIALS /A1./ ESTIMATED COST 16 !/ /�� DATE // T" 7 IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE A---/7) ft BANK HEIGHT ft SIGNATURE 4(-6.,t(ik cft 0LA4 DATE NAME (PLEASE PRINT) )6°I(0(4---1. /I) )154/7 H:WameTIncntr\Forma\BIdapp.DOC 4/96 c m ��a ao c d d m I L o N tip N I p c m O • m 0 Q. 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Z •? co J o Q q a- _1 �d a ~ M�J es/ c4 P6od N _ o0 Y < ati ` Z a U J • a O- a 1- N 2 O -0 d Z a a w O w In c cr.r CL U a o E O V) i JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD97-0024 DATE RECEIVED. :01/14/97 SITE ADDRESS: BYWATER WAY :PORT LUDLOW, WA 98365 APPLICANT. . . :MICHAEL MAIBAUM PHONE: MAILING ADDR: 1614 NE 168TH :SEATTLE WA 98155 CONTRACTOR. . :TERHUNE HOMES INC PHONE: 360-697-7000 MAILING ADDR:PO BOX 97 :POULSBO WA 98370 CONTR. LIC #:TERHUHI133J7 EXPIRATION DATE: 04/27/97 ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: T PARCEL NO. : 821355065 N 3 landslideT)O plat cond J wetland flooding f iI 0 LEGAL DESC: STR 35-28-01 E WM seismic streams / erosion fj f & LOT 3 , BLOCK , TAX # SE WHITE ROCK CV D4 LL I- ! 1 COrnsc' DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1943 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT •A PROP. . : 3 PROP. . : 3 HTED BSMT. : 1195 sf WOODSTOVE TOTAL. : 3 TOTAL. : 3 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . :CON OTHER 0 sf TYPE OF CONST WATER SUPPLY. :PUD CRPT/GAR. . : 704 sf UNITS. : 0 STORIES: 0 HEAT TYPES. :HTP/ / DECKS 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 169148 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 8371 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 1237 .25 EMH 01/14/97 1137512 Date: PLCK $ 371. 18 EMH 01/14/97 1137512 B.C. $ 4 . 50 EMH 01/14/97 1137512 Issued By: POT $ 26. 00 EMH 01/14/97 1137512 Date: Q I ' " I CrI c2 Area $ 1638. 93 TOTAL Ia-I / 3: I41-1,1 rHUM It1-11-0.AN.t rn.Iry SCM004I/VO4 V. I ‘1.1-':i w _ T m c- i C,__ rtt mi s: 'tit , TSB m �. / ``' ~ N —1 d.„T.:„,,,,,,,,-m � ,. 7..... 0 4 o lit r7 _ o a _- --' 'N i VII iir z t..n o X1,1 N I ` - 4 o 0 c A i rRO's 111 I • s� y Al o R ii5 Iy / Is C, 1 -- N. ./. s * �o Z •4 LIN rti t I s z F. 11 > . gZ J;- . 3 .i.---- m r. u, — , $YW ATER WAY Y • , Jettters/n County Permit Cooler Date '621 Sheridan Street Fee Port Townsend WA 98348 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name 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 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 NC identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES NO on your property or adjacent properties? If YES, please describe: II 4. Are there any indications on any portion of the property or on any YES 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) o a 4 ;inn ❑ I r r / r r r r / / / I / r / / / / r r r I / / r r / / / r / / / / / / , r r r / / / / / ,❑ r r i / / ,� / r / / / / , rrr r i / / , rrr r i / / , �.❑ / / / / , fl „„„/„.„,„-------_--------- (Questionnaire Continues on Back) .6. Does the site have steep slopes with little to no vegetation? YES ,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 - s Date FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) Cl 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: t JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # 'BLD97-0024 DATE ISSUED. : 01/27/97 SITE ADDRESS: BYWATER WAY :PORT LUDLOW, WA 98365 APPLICANT. . . :MICHAEL MAIBAUM PHONE: MAILING ADDR: 1614 NE 168TH : SEATTLE WA 98155 CONTRACTOR. . :TERHUNE HOMES INC PHONE: 360-697-7000 MAILING ADDR:PO BOX 97 :POULSBO WA 98370 CONTR. LIC #:TERHUHI133J7 EXPIRATION DATE: 04/27/97 LOAN LENDER. :WASHINGTON FEDERAL MAILING ADDR: 18960 STATE HWY 305 NE :POULSBO WA 98370 PARCEL NO. . . : 821355065 LEGAL DESC. . : STR 35-28-01 EWM, TAX # LOT 3 , BLOCK , WHITE ROCK CV D4 DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE ( Footing/Setback3'> (Shoreline Setback) : J K 3- e- 7 di - ( Foundation: MOA/0 O/l 3•- 2e - 47 AIIIPare ( underground Plumbi' g/Underig su ro\nd In ion: ( \.- Framin. •I.lumbing/Chimney. , - µ .i G. 6 or- ' 4 /i. ( vrInsulation: cs . 'r ( ✓) Sheetrock: OK -7 48-97 — ( � inalTOccupancy Approva . a __ - i - 1%)/ Ei5 /c' GAS rN�� 9K 7/zj/9, THIS PERMIT IS VALID FOR ONE YEAR. RE•TW.PE'GT ez• GRS 6,4 N p,p To MlsHAP' " • •C 24 Hour Recorder for Inspections (/g(4740 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.