HomeMy WebLinkAboutBLD1994-00464 yRt
JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0464 DATE ISSUED. : 07/15/94
SITE ADDRESS: 112 DOG LEG RD
:PORT LUDLOW, WA 98365
OWNER 'POPE RESOURCES PHONE:
MAILING ADDR:781 WALKER WAY
:PORT LUDLOW WA 98365
CONTRACTOR. . :COSTA PACIFIC HOMES PHONE: 437-0112
MAILING ADDR:40 PAR-4 CT
:PORT LUDLOW WA 98365
CONTR. LIC #:COSTAPHO99OR EXPIRATION DATE: 08/21/94
LOAN LENDER. :
MAILING ADDR:
•
PARCEL NO. . . : 951400001
LEGAL DESC. . :STR 21-28-01 EWM, TAX # 231
LOT 1 , BLOCK , FAIRWOOD VILLAGE
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
( ) Footi g/Setbac (Shoreline Setback) :
( ) Foundation �-c -4;4
( ) Underground Plumbing/Underground Insulation:
( ) raming1Plumbi. • imne . enrJosiggrow
( ) C ns latiolf;) Ce'F,
( )C,Sheetrock: q- -g'N
( ) Sewage Disposal System Final:
( ) • ' • . _• .. • : . . . a_ • . � c1- 9 -9,4
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
4f
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall wO
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT •BLD94-0464 DATE RECEIVED. :07/13/94
SITE ADDRESS:112 DOG LEG RD
:PORT LUDLOW, WA 98365
OWNER jPC' PHONE:
MAILING ADDR:781 WALKER WAY
:PORT LUDLOW WA 98365
CONTRACTOR. . :COSTA PACIFIC HOMES PHONE:437-0112
MAILING ADDR:40 PAR-4 CT
:PORT LUDLOW WA 98365
CONTR. LIC #:COSTAPH099OR EXPIRATION DATE: 08/21/94
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. . . :951400001 ALT: CON: NA:
LEGAL DESC. . :STR 21-28-01 EWM, TAX # 231 WATER: DATE:
LOT / , BLOCK , FAIRWOOD VILLAGE SHORELINES:
BY: DATE:
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1450 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT •A PROP. . : 2 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 2 TOTAL. : 2 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . :SEWER OTHER • 0 sf
TYPE OF CONST • WATER SUPPLY. :LUDLOW CRPT/GAR. . : 470 sf
UNITS. : 1 STORIES: 1 HEAT TYPES. :HTP/ / DECKS • 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 74650 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 5831 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 504. 50 AK 07/13/94 94978
Date: B.C. $ 4.50 AK 07/13/94 94978
RADO $ 10. 00 AK 07/13/94 94978
Issued By:
Date:
$ 519. 00 TOTAL
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*JEFFERSON COUNTY BUILDING PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE
0 SINGLE FAMILY NEW BUILDING
❑ MOBILE - 0 ADDITION 500+1500-
O MODULAR 0 ALTERATION
❑ GARAGE ATTACHED/DETACHED ❑ REPAIR
❑ WOODSTOVE 0 DEMOLITION
O MULTI-FAMILY/UNITS 0 RELOCATION
❑ COMMERCIAL
❑ INDUSTRIAL
❑ HOTEL/MOTEL/DORM/UNITS
❑ OTHER UBC OCCUPANCY GROUP
DESCRIPTION OF IMPROVEMENT:
SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL
MAIN FLOOR ! 7
C1 ❑ ELECTRICITY ❑ OIL
2ND FLOOR ) ' > 0 WOODSTOVE 0 GAS
3RD FLOOR /✓GX '-� I54 HEAT PUMP ❑ OTHER
HTD BASEMENT • �4 �\ -
UNHTD BASEMENT 1 (�(�
CARPORT PRINCIPLE TYPE OF FRAME
GARAGE r/
DECKS 0 - WOOD ❑ MASONRY
COMMERCIAL 0 MANUFACTURED ❑ OTHER
INDUSTRIAL - ❑ STRUCTURAL STEEL
OTHER
i
TOTAL VALUATION �( ) OR ESTIMATED COST
❑ INSTALLED 19
TYPE OF SEWAGE DISPOSAL: Ea SEWER ❑ SEPTIC SYSTEM
❑ NOT INSTALLED
TYPE OF WATER SUPPLY: PRIVATE 0 DRILLED WELL OTHER
PUBLIC 0 CITY OTHER: NAME
❑ PUD STATE I.D.
NUMBER OF EXISTING BEDROOMS C. NUMBER OF EXISTING BATHROOMS (C+
NUMBER OF PROPOSED BEDROOMS .e--- NUMBER OF PROPOSED BATHROOMS
TOTAL NUMBER OF BEDROOMS TOTAL NUMBER OF BATHROOMS
r
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER
BANK HEIGHT SETBACK
SIGNATURE .,�� t G.(c ' J �l
_t_.) -("4-74: DATE 1L.� / '7
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APPLICANT NAME (PLEASE PRINT)' �1EA) l� t
/ 5c,
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51 9 °°
JEFFERSON COUNTY UNIVERSAL PLOT PLAN AND DEVELOPMENT APPLICATION
(This is not a permit)
Fill in the�forllowing information as completely as possible
6- I'C.,,,Cc„s
PROPERTY OWNER NAME o O✓wk PHONE 17
MAILING ADDRESS 77t ( . w 1
CITY/STATE 1 0a/ L COC 6,1AZ/1 L
APPLICANT NAME (if different) PHONE
or AUTHORIZED REP (circle one)
MAILING ADDRESS
SEPTIC DESIGNER PHONE
MAILING ADDRESS
GENERAL CONTRACT i le- /OWE .
� i' *
MAILING ADDRES �- ei- PHONE,�p '"�7'0/2.,.
A1 Zu c/(cco I pAsh 9n5
STATE LICENSE NUMBER(267,4 P, (7F 'k:. EXPIRATION DATEAI-Z-3/-5Y
ARCHITECT PHONE
MAILING ADDRESS 1
LOAN LENDER NAME/BOND HOLDER MAME ,
MAILING ADDRESS PHONE
SITE
911./ROAD
NAME / '' 6 /,U ZIP COD E
LEGAL DESCRIPTION:
SUBDIVISION NAME s !Jr' ,:// .- LOT / BLOCK DI ISION
, ��J J
TAX NUMBER 9 DIGIT PARCEL NUMBER411" / COOe i , J� /
lll///lll
SECTION 2/ TOWNSHIP NORTH RANGE / WM
DESCRIPTION OF IMPROVEMENT:
PLEASE FILL OUT ALL OF APPLICATION
**** Dear Property Owner: Please fill this form out as completely as possible. The legal description and 9
digit parcel number may be obtained from your tax statement or from the Assessor's Office in the Jefferson
County Courthouse. Please make yourself at least one copy of this form so that you may use it for future
development of your property. ****
Mailing address: Jefferson County Permit Center, 621 Sheridan, Port Townsend, WA 98368