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HomeMy WebLinkAboutBLD1994-00479 a r JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0479 DATE ISSUED. : 08/03/94 SITE ADDRESS: OLYMPUS BLVD Sj 8 4:, :PORT LUDLOW, WA 98365 OWNER •GARRON PETRICK PHONE: 385-5822 MAILING ADDR: 10894 RHODY DR :PORT TOWNSEND WA 98368 CONTRACTOR. . :OWNER PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: / / LOAN LENDER. : MAILING ADDR: PARCEL NO. . . : 978900012 LEGAL DESC. . :STR 04-28-01 EWM, TAX # 231 LOT 17 , BLOCK , OLYMPUS BEACH TRCT DESCRIPTION OF IMPROVEMENT: Single Family Residence ( \,/j F oting/Setbacks ( horeline Setback : a / 1 0 .I — ( \(j-coundatio 3) d - A AO! _.— r ( ) Underground Plumbing/Underground Insulation: ( . „ • • Plumbing/Chimne 7-30- z 4 ( Insu tion:fvA[.cs Zito£Lino EA 61c er -2*945 4* at.N--t-.7' ( Sheetrock: -; ; -c 6>_ y . g r / _. 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H DO ~ 0b4Pn it-- I POGE-T St504D Sol tI. l ti 1\\\*6-45). � -- J r .t I A\l 71 I k.../ ' ‘,, ,)h...._______IL -- 1 N t-7\e'\ 1 Ja 1U R ." ---------->. ‘..../ 1 3.- ..7 In 11 I g‘ v , t r : i I ' a w 1 ; in a fi t 0 1 • i i I i . x 50' OLYMPUS D \Vs ,,i...''''..?/.''' 411 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0479 DATE RECEIVED. : 07/15/94 SITE ADDRESS: 530 OLYMPUS BLVD :PORT LUDLOW, WA 98365 OWNER •GARRON PETRICK PHONE: MAILING ADDR: 10894 RHODY DR :PORT TOWNSEND WA 98368 CONTRACTOR. . :OWNER PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . :ML MOCAN DESIGN PHONE: DESIGNER *BOX 719 MAILING ADDR: : SILVERDALE WA 9838317/Y PARCEL NO. . . : 978900012 ALT: CON: NA:_ LEGAL DESC. . :STR 04-28-01 EWM, TAX # 231 WATER: C DA E: 705 LOT 17 , BLOCK , OLYMPUS BEACH TRCT SHORELIN S: BY: DATE: DESCRIPTION OF IMPROVEMENT: Single Family Residence BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1721 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 734 sf GARAGE/CARPORT •A PROP. . : 2 PROP. . : 3 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 2 TOTAL. : 3 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER • 0 sf TYPE OF CONST WATER SUPPLY. : CRPT/GAR. . : 780 sf UNITS. : 1 STORIES: 2 HEAT TYPES. :GAS/ / DECKS • 460 sf DIMENSIONS:40X89 FT MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 104525 SIZE: BANK HT. . . : 10 ft PROJ GRP. . : 3831 SH SETBACK:25 ft Owner/agent ' FEES Signature: type amount by date recpt Date: EMI PRMT $ 657. 00 AMW 07/15/94 94989 PLCK $ 197 . 10 AMW 07/15/94 94989 e'ersopW B.C. $ 4 . 50 AMW 07/15/94 94989 Issued By: ' ^. ' ,. .m•1 RADO $ 10. 00 AMW 07/15/94 94989 Date: $ 868 . 60 TOTAL Y % f 4 • • , f *JEFFERSON COUNTY BUILDING PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE ,IS. SINGLE FAMILY NEW BUILDING ❑ MOBILE ❑ ADDITION 500+/500- 0 MODULAR Cl ALTERATION 1, GARAGE ATTACHED/DETACHED ❑ REPAIR ❑ WOODSTOVE ❑ DEMOLITION ❑ MULTI-FAMILY/UNITS 0 RELOCATION ❑ COMMERCIAL ❑ INDUSTRIAL ❑ HOTEL/MOTEL/DORM/UNITS ❑ OTHER UBC OCCUPANCY GROUP DESCRIPTION OF IMPROVEMENT: $-a iti _ „1-;-1,, C 7 fA SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL lieMAIN FLOOR 7 a -77i/ ❑ ELECTRICITY ❑ OIL 2ND FLOOR 7-i-4 )46) ❑ WOODSTOVE Rt, GAS 3RD FLOOR ❑ HEAT PUMP ❑ OTHER HTD BASEMENT 1,;;;;,�,,_ UNHTD BASEMENT v CARPORT 7F0(7 PRINCIPLE TYPE OF FRAME GARAGE 7,3 DECKS ,-J6 ; o6 g WOOD El MASONRY COMMERCIAL ❑ MANUFACTURED ❑ OTHER INDUSTRIAL 0 STRUCTURAL STEEL OTHER TOTAL VALUATION /oil C . OR ESTIMATED COST TYPE OF SEWAGE DISPOSAL: CI SEWER CI INSTALLED 19f (�SEPTIC SYSTEM ❑ NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE ❑ DRILLED WELL OTHER PUBLIC 0 CITY OTHER: NAME 0 PUD STATE I.D. NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS NUMBER OF PROPOSED BEDROOMS f NUMBER OF PROPOSED BATHROOMS 3 TOTAL NUMBER OF BEDROOMS ,% TOTAL NUMBER OF BATHROOMS _5 IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER L BANK HEIGHT IC'' SETBACK '",.. SIGNATURE 6 DATE `7 f / '" APPLICANT NAME (PLEASE PRINT) � �' <--,tiJ .�T /". �E' , ,z