The URL can be used to link to this page

Home My WebLink AboutBLD1994-00647 • III . i JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0647 DATE RECEIVED. : 09/12/94 SITE ADDRESS: 103 SAYWARD :PORT LUDLOW, WA 98365 OWNER •TY TAYLOR PHONE: 385-7153 MAILING ADDR: 2022 QUEEN ANNE PL :PORT TOWNSEND WA 98368 CONTRACTOR. . : L ( 22��1\g'IS � PHONE: MAILING ADDR: .N1 b Yl� ^NL c� ` Pc, 221343 441,) f,;./L /sfJl 373 -tilt() CONTR. LIC #: J(Ldtr,0x.� 11,„)+6_,. EXPIRATION DATE: /6 /y hf ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. . . :990400321 ALT: : �- N�1: ��4� LEGAL DESC. . :STR 08-28-01 EWM, TAX # 231 WATER: eCDATE: LOT 21 , BLOCK , PT LUDLOW #1 AREA3 v- •RELINES:_ BY: DATE: DESCRIPTION OF IMPROVEMENT: GARAGE BUILDING TYPE *GAR 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. . LOW CRPT/GAR. . : 528 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 5280 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 4972 SH SETBACK: 0 ft Owner/agent ` • 1 t FEES Signature: i -", type amount by date recpt S E P �� PRMT $. 81. 00 AK 09/12/94 98154 Date: ��t�9F $ 24 . 30 AK 09/12/94 98154 1 _ B.C. $ 4 . 50 AK 09/12/94 98154 Issued By: Jefferson C. 44 1 ePar 172 _►- Date: $ 109. 80 TOTAL GO/ • • JEFFERSON COUNTY PERMIT CENTER . ' 621 Sheridan Street Port Townsend, 379-4450 Critical Areas Questionnaire \/ 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? /TT 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 on _YES NO your property or adjacent properties? If YES, please describe: 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) 9 9 r C U r r r - 1 i i i I r r r i i i I r r i i i i 1 I 1 i i i i I r r / / / / i i i i i // i 7/ i I I 1 / i 1. i -' ii iii i i �i r r r r i i i / r r r r i i i (OVER) 6. Does the site have steep slopes with little to no vegetation? _YES XNO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine sand? _YES NO If YES, please describe: 8. Does the site contain ground water seepage or springs near the _YESNO 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 are true, and the applicant acknowledges that any action taken by Jefferson transmittals made herewith a PP 9 County based in whole or in p art on this application n m a Y be reversed if it develops that t any such statement or other information contained herein is false. -air 9 1z -� Signat i1' / Date t • Y a JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0647 DATE ISSUED. : 09/16/94 SITE ADDRESS: 103 SAYWARD :PORT LUDLOW, WA 98365 OWNER •TY TAYLOR PHONE: 385-7153 MAILING ADDR:2022 QUEEN ANNE PL :PORT TOWNSEND WA 98368 CONTRACTOR. . :MOBILE HOME SPECIALISTS INC PHONE: 373-4116 MAILING ADDR:PO BOX 2288 : SILVERDALE WA 98383 CONTR. LIC #:MOBILHS111PW EXPIRATION DATE: 10/04/94 LOAN LENDER. : MAILING ADDR: PARCEL NO. . . : 990400321 LEGAL DESC. . :STR 08-28-01 EWM, TAX # 231 LOT 21 , BLOCK , PT LUDLOW #1 AREA3 DESCRIPTION OF IMPROVEMENT: GARAGE ( ) (Footin42)Setbacks (Shoreline Setback) : ( ) Foundation: ( ) Underground Plumbing/Underground Insulation: (../1101EMP mbing/Chimney: ( ) Insulation: ( ) Sheetrock: ( ) Sewage Disposal System Final: ( /Tina /Occupancy Approval: O- CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Hours 8 - 10 a.m. 24 Hour Recorder for Inspections CO I ❑ ❑ ❑ 0 c ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ p 0 iis N O> 01 A n � W N � p 5) 00 V CO . . . . . O D Ts n D, D ma ^. ln � z v, m v) 6.01 gpz � z m O O En -a O m n O ° y , c, -, o r* y m m o x m m o ° co m r 7 a ° a° a °+ c o m �° c°°D c m m y D N o < 3 v D, D1 ? O CD a f9 n N -. O N n .' O N N N = n' O N f0 fD S 7 fD co y O co O 7 C O 0, _ 7 y 3 D) „�CO y f) (D 0 , y f0 y 7 -< (-D CD C O" 7 = y -1--0/ -..< 0 •< " 7 O O- O 7 CD A Q 7 7. O_ < " 0 y 0 *. y N m O y C O 7 -, d 4 y 0 N O r C N co 7 F T _O "• 7 N ° 7 S N .* N m 7 O . j• Z . A y O M 7 O. y 7 y D) y x y O co fD '0 7 y y fD N .w y m 7 y �^ 7 0 y m y = m n 0 74. y y N Cl' a Cr .7i (D CD C -7w J n N a y j' n j n N y 5' .. CD O y y w IS' m l " S m O - to o 1O O I' j' a y n c ,y m CD O• c N 9 0 o d m PT m _, ,... O to ° - 5 m y m a o m m y F o .+ o o c n o N n m o. Oy CD fD 7 0 7 =. n V1 n a v, 3 C • �n .+ m O r_+ d p o ci 3 0 ,- m m •7 0 N d ° m y v, 7- • N D) ( y N .Oi n d 1 < O -, r' O y y CD =�• fD 7 7 'K y .- CD O - 0 kJ—, -.__. 862_ c} 6 ��. S�I t i G 1 i 1 1 i 1 I __ s#,- .., i F 1 1 i 1 I / 4 v/` I. '1 / �� / -'[J / � . C /i'r � C / 1 J �� it \ \ yak L' r. - . *JEFFERSON COUNTY BUILDING PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE r ( LJJ'Cl/ ❑ SINGLE FAMILY ❑ NEW BUILDING BL-..-1 9 "D/IQ l ❑ MOBILE ❑ ADDITION 500+/500- ❑ 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: SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL MAIN FLOOR ❑ ELECTRICITY ❑ OIL 2ND FLOOR ❑ W0ODSTOVE ❑ GAS 3RD FLOOR ❑ HEAT PUMP ❑ OTHER HTD BASEMENT UNHTD BASEMENT CARPORT PRINCIPLE TYPE OF FRAME (1714.4E-) 2.Z ' ' X J 7// f)EfKB ❑ WOOD ❑ MASONRY COMMERCIAL ❑ MANUFACTURED ❑ OTHER INDUSTRIAL ❑ STRUCTURAL STEEL OTHER g' TOTAL VALUATION J� n D or _ ESTIMATED COST MAXIMUM HEIGHT ❑ INSTALLED 191%L TYPE OF SEWAGE DISPOSAL: ❑ SEWER X SEPTIC SYSTEM ❑ NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE ❑ DRILLED WELL OTHER .,L PUBLIC ❑ CITY OTHER: NAME (Tr!1f/ /UG{/pL!/ ld'c 4:i! C0477,4yy/p/ ❑ PUD STATE I.D. NUM: R OF EXISTING B .'OOM NUMBER OF EXISTING BATHROOMS NUMB ' OF PROPOS • BEDROOMS UMB • IF PROPOSED BAT TOTAL • • • • BEDROOMS TOTAL NU . R OF B OOMS IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER BANK HEIGHT SETBACK FRONT SETBACK SIDE SETBACKS / REAR SETBACK SIGNATURE i y/, X 1Z DATE 9r 99 APPLICANT NAME (PLEASE PRINT) /y 14/ 4/4 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 RI � 7 PLAN CHE K 243-- 0 RECEIPT # A.STATE SURCHARGE 4.50 DATE la q RADON KIT !oo (,', TOTAL v • CASH/CHECK 0 h:\HOME\PLNCNTR\FORMS\bldapp.frm