HomeMy WebLinkAboutBLD2002-00086 BUILDING PERMIT APPLICATION Review Ty I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00086 Received Date: 2/19/2002
SITE ADDRESS: 235 EDGEWOOD DR
PORT LUDLOW, 98365
OWNER: BREHON F ROSE PHONE: (901)755-5803
MARILYN ANN ROSE
8482 STEINERBRIDGE LN
GERMANTOWN TN 38139-3232
SUBDIVISION: EDGEWOOD VILLAGE Block: Lot: 8
PARCEL NUMBER: 948200008 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: DIPPLE CONSTRUCTION INC PHONE: (360)437-1269
921 SOUTH POINT RD
PORT LUDLOW WA 98365
Contractor's License DIPPLCI066KE Expires 05/01/2002
REPRESENTATIVE(S): JIM WALKER
SHARON WALKER
7442 OAK BAY RD
PORT LUDLOW WA 98365
PROJECT DESCRIPTIO SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,918
VALUATION 229,500.00 ADD'L: 637 HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 777 SETBACK:
DECK: 219 BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 3 Seismic Streams
Total: 2 Total: 3 Flood Way Floodplain
Routing Date: F&W Landslide
�-- 2,482_ Pt Shoreline Aquifer
( Forest: Commercial Rural
Proximity Plot Conditionc
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,721.75 MAM 02/19/02 45672
Plan Check $51.43 MAM 02/19/02 45672 (1J) (ebA p9pi Uf
Plan Check $0.00 MAM 02/20/02 I
State Building Code $0.00 MAM 02/20/02 LI/J/0-2—,
Potable Water Application $0.00 MAM 02/20/02 l /
Total: $1,773.18
.
VI.
After=County Department of Community Develo»meet
4,490N °06 621 Sheridan Street,Port Townsend WA 88368 13601318-4450
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Project Descri.Lion: ,
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------------ -----
Building Type: Project Type: ' • '"T a ype: ' gli
7 Single Family New Wood
Garage Attached/Detached ❑ Addition ❑. Steel Y
Modular ❑ Alteration/Remodel
DEPT. OFCp® ' t �ELOPMENr
.: Commercial ❑ Repair ❑ Masonry
Multi-family/#of Units ❑ Demolition ❑ Other:
Industrial
Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: Jii Sewer ❑ Community System Electricity L Oil
Proposed: 'i Proposed: L ❑ Individual System 0 Woodstove ❑ Propane
Total: 3 Total: If not sewer,fill out the following: 'Heat Pump
❑ Conventional = Alternative 0' Other
Permit# SEP
Water Supply: •
Private well G Two Party Well r1 Public:Name of water system:
Square Footage: For Office Use Only j
Main Floor - Consistency Review 39.00
2ND Floor l) 3CT.s 3S.3t{" Base fee 1721-75-
3rd Floor Plan Check fee I 6-S3
Htd Basement State Surcharge fee `'.S
Unhtd Basement Subtotal 2-Z E l- 7
Garage/Carport 7&5 7- 1(oS-70 Pot Water Review fee 30.00
Decks 2 G J 2( • zi 911 Rd Approach fe 39 "Crt) .9Q'
Commercial ] —QIj't� ' TOTAL 2350 • $ Zy2t 9' 2
Industrial l J '� Receipt# cc-4 72—
Other Cash/ ( ,{307 t
Total Valuation: Initial ea-e,
Or Date �1l7L o ---
Estimated Cost: 'bv-CE ii5 5L1 8. (00 •
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height ft.
liy signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner 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 it's employees,representatives or agents for the purpose of application review and any required later inspections.
:Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
Signature: Date:
OVER ■
LHOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
360-437-2633 JOHN L SCOTT 776 P02 MAR 19 '02 11:58
March 15, 2002
To: Jefferson County Department of Community Development
Attn: Zoe Ann Niswonger
621 Sheridan Street
Port Townsend, WA 98368
From: Brehon F. Rose
Marilyn Ann Rose
8482 Steinerbridge LN
Germantown, TN 38139-3232
RE: Cancellation of building permit
Site Address: 235 Edgewood Dr.
Case#: MLA02-00080
Please cancel the building permit at 235 Edgewood Drive, Case# MLA02-00080 and
refund the permit fees to Jim and Sharon Walker,the people who submitted the fees.
Sincerely,
3/443/6
Brehon F. Rose
D
0 3a a ol.
Marilyn Ann Rose