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HomeMy WebLinkAboutBLD1995-00059 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0059 DATE RECEIVED. : 02/10/95 SITE ADDRESS:925 BYWATER WAY :PORT LUDLOW, WA 98365 OWNER •HESTER HARDING PHONE: MAILING ADDR: 321 ALPINE CT :PORT LUDLOW WA 98365 CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. . . :821265032 ALT: CON : LEGAL DESC. . :STR 26-28-01 EWM, TAX # BY: DATE: t LOT 18, BLOCK , WHITE ROCK COVE WATER: DATE: CAR : DATE: DESCRIPTION OF IMPROVEMENT: 24 x 36 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 •D PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER • 0 sf TYPE OF CONST • WATER SUPPLY. :CWELL CRPT/GAR. . : 864 sf UNITS. : 0 STORIES: 1 HEAT TYPES. : DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 8640 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 3311 SH SETBACK: 0 ft Owner/agent ;r x FEES Signature: , " __ type amount by date recpt PRMT $ 108 . 00 EMH 02/10/95 103537 Date: 1 4M: B.C. $ 4 . 50 EMH 02/10/95 103537 t a. Issued By: _ iCP , , Pia ' u Date: &guild�n9 $ 112 . 50 TOTAL • JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0059 DATE ISSUED. : 02/13/95 SITE ADDRESS:925 BYWATER WAY :PORT LUDLOW, WA 98365 OWNER •HESTER HARDING PHONE: MAILING ADDR: 321 ALPINE CT :PORT LUDLOW WA 98365 CONTRACTOR. . : PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: / / LOAN LENDER. : MAILING ADDR: • PARCEL NO. . . : 8212650 32 LEGAL DESC. . : STR 26-28-01 EWM, TAX # LOT 18, BLOCK , WHITE ROCK COVE DESCRIPTION OF IMPROVEMENT: 24 x 36 garage ( ) Footing/Setbacks (Shoreline Setback) : ( ) Foundation: ( ) Und round Plumbing/Underground Insulation: ( Framin 1 bing/Chimney• ( j—Insulatio ( ) Sheetrock: ( i'") Final/Occupancy Approval: -��-- � � ZZ6 " 6 4% ,B' CALL 379-4455 24 HbriRS IN ADVANCE TO SCHEDULE INSPECTIONS Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Phone Hours 8 - 9 a.m. 24 Hour Recorder for Inspections 4' 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 XN0 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 LNO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present on Y YES NO your property or adjacent properties? If YES, please describe: S/rM� 4 c bet,5 e6/46„ ^'/C.7 ©'cr M Y "I— rev ,vow+. Ater roc- Pe-0P6srb /3v/L4/n/E? S`I"E , 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) 0 o a Q El Elp / / / / / / / / / / / / / / / / / / / / / / / / / / / /' .0 %/ %/ f/ / / // // /'' // / / / / / / / �// �/ / / / / / / / / / / / / / / / / /�/ / / / / / I / / �/ / / / •%•%•I /' /' // -� adifI / / / ///// ///// -i/ �-i'� / / / / / / , //// �// .-- ////// / /// // �� ,.� rill /////////// /� �''� --- �_�.-.0 I//////__ -____ --.�- ..- , ` _ r �� 6. Does the Site have steep slopes with little to no vegetation? YES ENO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine sand? YESJO If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES _XNO 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 -44k4A-- ---- Date / 1 FOR OFFICE USE ONLY Receipt: Check#: Fee: CAR#• APPLICANT NAME: PROJECT NAME: Triggering Permit: ❑ Building Permit ❑ Land Use Permit/Zoning ❑ Shoreline Permit ❑ Septic Permit ❑ Subdivision Permit ❑ Other: CRITICAL AREAS ON OR ❑ Wetlands ❑ Seismic IMMEDIATELY ADJACENT TO SITE: ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: *JEFFERSON COUNTY BUILDING PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE 0 SINGLE FAMILY 4 NEW BUILDING -� O MOBILE El ADDITION 500+/500- 0 MODULAR 0 ALTERATION i GARAGE ATTAC D/DETACHED r 0 REPAIR FEB I O ❑ WOODSTOVE 0 DEMOLITION O 4-'MULTI-FAMILY/UNITS ❑ RELOCATION ❑ COMMERCIAL r , M'i ❑ INDUSTRIAL .,, PERMIT CENTER ❑ HOTEL/MOTEL/DORM/UNITS ❑ OTHER � UBC OCCUPANCY GROUP -DESCRIPTION OF IMPROVEMENT: X 3'� ' 6 E (-� J SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL MAIN FLOOR ❑ ELECTRICITY ❑ OIL 2ND FLOOR ❑ WOODSTOVE ❑ GAS (� 3RD FLOOR ❑ HEAT PUMP ❑ OTHER //bNE HTD BASEMENT UNHTD BASEMENT CARPORT //� PRINCIPLE TYPE OF FRAME GARAGE S IJ 1/4 DECKS AC WOOD ❑ MASONRY COMMERCIAL ❑ MANUFACTURED ❑ OTHER INDUSTRIAL ❑ STRUCTURAL STEEL OTHER • TOTAL VALUATION - - or ESTIMATED COST MAXIMUM HEIGHT ❑ INSTALLED 19 TYPE OF SEWAGE DISPOSAL: ❑ SEWER ❑ SEPTIC SYSTEM ND Nia SEPTIC PERMIT NUMBER TYPE OF WATER SUPPLY: PRIVATE ❑ DRILLED WELL OTHER AvOok.)C PUBLIC ❑ CITY OTHER: NAME ❑ PUD STATE I.D. NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS AA NUMBER OF PROPOSED BEDROOMS V - NUMBER OF PROPOSED BATHROOMS TOTAL NUMBER OF BEDROOMS TOTAL NUMBER OF BATHROOMS `i IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER BANK HEIGHT SETBACK FRONT SETBACK SIDE SETBACKS / REAR SETBACK SIGNATURE 1/ -'_'fi VS 1'g5"'i DATE APPLICANT NAME (PLEASE PRINT) i_ O "iX t�'r�/ti M,Yr 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 PLAN CHECK RECEIPT # /o$ 7 STATE SURCHARGE 4.50 DATE //C)/qS RADON KIT c y r.Irl TOTAL 7/ r 07. D CASH/CHECK # ` h:\HOME\PLNCNTR\FORMS\bldapp.frm {` t 2 i ,i h i e.__ _ _ 1 .t VT i t^ L ................„.,.„....,........____Li . i1 • trl 1 1 \ ---.... TIT\--\\A , . • • `ro 1 b i n i 1 t!_ -N I t-°tit. r t.. ... •' • . ; I ; I ' OI i I. , . 1 1 i h.. I • 1 0 . I .< T1211. 5P zq qe.' . 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