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HomeMy WebLinkAboutBLD2006-00556 - DENIED THIS BUILDING IS NOT FINALED . THIS IS AN INCOMPLETE BUILDING APPLICATION . THE PERMIT WAS NEVER ISSUED . • • MLA06-00538 BUILDING PERMIT APPLICATION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00556 Received Date: 9/29/2006 SITE ADDRESS: EBB TIDE CT OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: 360-437-2101 70 BREAKER LN PORT LUDLOW WA 983659766 LUDLOW COVE DIVISION 1 PHASE 2 SUBDIVISION: Block: Lot: 11+ PARCEL NUMBER: 968800011 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License PORTLAL994L8 Expires 5/2/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR W/ATT GARAGE &A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,465 VALUATION 355,423.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: 1,238 HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 632 CONST TYPE: DECK: 366 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 4 Prop: 5 Total: 4 Total: 5 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,427.35 LYK 09/29/06 84982 Plan Check $1,577.78 LYK 09/29/06 84982 State Building Code $4.50 LYK 09/29/06 84982 Potable Water Application $55.00 LYK 09/29/06 84982 Total: $4,064.63 * k•-'7) • , ,..- .....M........ , la r'. ' I 9 \ ,/ ./6./ PPW- I ,�. .. r l I y /^ j � 1 2 3 ( 1`�`i7 � _ -I, V ' i . . / - , '' 1 , I \ V' ' . . 2L „ , \ ........._----_ -` JH- . � c, �'� _ i ,,malk c „ ,dW.-2p I \J/ .: /- Fil m 4. iipir • t ..i. ,, ,L.7!", re.i) /-,-(5171--'1 \ 1 i _____ ____ , .,_(Isi (ia9 . �� 1 lifir i 11* IXr1 i.14 ; ...,-- Hti,ir,1 4,(r--,GJP ✓ 0114 ' i- t),' I ' II\ 1-7Vi'_,#,. �� \ ., --`` 'V 'r 1 , J " , y 1 , -- 9 ck% oca, \ ,.,,,f02. LE-ii1:-,_ /-i-r. 1.),i4_ [;.ta, m, 1,e,,-;: ( 1 j1,i p l- ) Gc F I - 9-1 2 1- 1 �. -5.-9� 0 b, REFERENCE NOTES R Igoma� ti --- -- . ...... e, e p I MORNING V ROOM `.. / `S9inlelU//,/ d. MASTER �r. ___A �._ �I _Nd:. ... ,. . ..• v.+m_mow, BEDROOM �_.• t �' ------- � a� y`.13 � �❑'.-:—4p _ `.^" `"^ '-7 Cn x 7 x ���-{] r� U7 $ 111---- ��' �..� o- 1 Mns.• ❑ N jilll�� 1:: La El- _..e a.na a • BATH , ne � ..,T � ;— '' m l 19R v p I-iII 1110 v a 2 0 �/ IC FMTRµ s ^.,, (� }f .A.,:.•KEe.... E. t n.4 ?' J �, F FLOOR PLAN KEY ,.x.w,..� s hr.rA I T .AN 4 m UU .,e:5^.<t.:e;x..« a. �, El El a v _ 1�" " -J� ..... PLAN NOTES 3 �1 4 FLOOR MIRAGE AT MAT ROOM .� I•'e// ... Y A r..o • T'YI T BEDROOM 2 I Lam. .©, � —;".-e _- + . III P. d ? -....>..° v Z/7 ��� —.:_- PLAN 4A Q Z SECTION w , � - 4 AREA CALCULATIONS 'J Q ]Y •o :�v lie .a -,'+ yy 9AY12M .. . r., ttt fffff �a TOTAL LIVINS AREA, p•TA ... COVERED ELEVATION A FLOOR PLAN 5ASE TMAIN LVEDec..i'8 .•,A4.2 I f-- — _ __—__, i SEP 2 9 ?SOS ' L 1J 1 LL_ - -- • • REFERENCE NOTES r ,.w..OM... '11 BROOM 3 --,.d.....,......,W Lam." �"-t r k' BEDROOM 4 a i -, a Aa. g• f tea - � �0 1 i al_ o IIIROIIPIW �:1. ,,, <4 Ma®'ijMC n SM. _ pI LSNi % .Fir al. �� 1 ;,`ill.;,;,;,,; i o . u.� a u I FLOOR PLAN KEY E. CRAWL I CRAWL _ ,rfe.�-.. x SPACE SPACE r,- p 'r': `l ___ _ -_, FLOOR PLAN NOTES I J I l_; , ELEVATION A BASEMEN OM PL AIN �.W ..a .E.1.?dug?OK A4.3 1 \._r--. ._r_-_____________;__n_____._,\.:_j_i_____,_____:___ ....., c�f� L ' i j"_ �" i JEFFERSON COUNTY SEP 2 9 2006 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street•• Port Townsend •• Washington 98368 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0 Lo -S ' Project Description(include separate sheets as necessary): New S elle mill.) reS►dence. ulatiac oaf& e Tax Parcel Property 1 /�•� Number: � �000 ` Size: I )1_0W (acres/. Site Address and/or Directions to Property: ? ebbT, C --- Property Owner(s)o Record: to Telephone: 1QO Li Fax: (-0 oZ email: Mailing Address: Cx) 62 Applicant/Agent(if different from owner): WA Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building ❑ Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** X Single Family ❑ Discretionary"D"or Unnamed Use Classification ,'Garage Attach d1/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Hat** El Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment El Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required lat r inspections.Ac ss and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: Date: q I IA 'Ot' The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential'take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable ;o s ility fo ring t and complying with the ESA. The Applicant has read this disclai er and signs and dates it below. Signature: Date: 5 J -tT 06 C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc 71 ' ;' ri (i ?` ! �I , .... r 1 ', . ( i' r-----'-' - 1 I LP ' 0 i 0 t,-)l' 1 IlfhlER BUIL? §STATEMEt'T The signer of this statement does hereby certify that they are the Owners of the parcl referenced herein,that they are not licensed contractors and that they will be assuming th res nsibili of the General Contractor for the proposed project. Signature: L _ ... Ia3tl;-.-�: 2 .PIA 06 GENERAL C`ONT llACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: r l...U•d w S� __ to _ LL LL (3tio) qt 37-al 0 i (364) Ii3 7- 5~aa MAILING ADDRESS: 70 e.ahQ.f 1 n`/ or EMAIL: CONTRACTOR'S LICENSE — � W IN.a,$3l(2s WAINS NUMBER: Pork 1et.199 LI LS — NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X' New j Wood Existing: -0— XSewer ❑ Addition ❑ Steel Proposed: S Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 0 Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other Bedrooms: Water Supply: Existing: $ Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: yle Public �• - • , Total: Name of System:CWS7- If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank (Above ground Tank Size of Propane Tank: I 7 Ec, I 1 Heat Stove I Cook Stove 1 Woodstove - Fireplace Insert 1 Hot Water Tank i Pellet Stove i Other Is this appliance being installed ina Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size, distances from the propane tank to all property lines,buildings and septic system components, includNng_the reserve area. Square Footage For Office Use Only 1 Current Proposed Amount Main Floor J L Consistency Review O Q z (3� , 3 - - 2NU Floor Base fee: ak1A1.3 _ 3a Floor Additional Section: Mezzanine: 14 heck fee: dc\jij Q)1 Goa t Q Heated Basement 2 c1 tn q��R c State Surcharge fee: Unheated Basement Pot Water Review fee: °(0 6 Other Unheated en d Approach fee: Garage/Carport U. l Q gold 24 TOTAL: QC�A� s I Decks ( _C� J `;lx V ‘.j1(0 7(° Receipt Number Sin g Z Other rl� Cash/Check Number D ESTIMATED COST(REQUIRED) Date: n •Fair market value of all labor and m erials found (tr c�isfr]-�� `7 \\\IL �� l�hJ �.� J 1 0�J Initials: - i C:\Documents and Settings\mochit\Desktop\Master Pen pp8ca on 7-8-04.doc