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Home My WebLink AboutBLD1996-00533 JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 93368 a BUILDING PERMIT APPLICATION ` PROJECT DESCRIPTION: pA. , ///2,_s ,s.,t-7-e , 6//,,,p,,,, eixe. ,,z), ,,/,_ d/d BUILDING TYPE: PROJECT TYPE: FRAME TYPE: Nli SINGLE FAMILY K NEW WOOD ❑ GARAGE ATTACHED/DETACHED ❑ ADDITION 0 STEEL ❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE ❑ COMMERCIAL ❑ REPAIR ❑ MASONRY ❑ MULTI FAMILY/# OF UNITS 0 DEMOLITION 0 OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING EXISTING ❑ SEWER ❑ COMMUNITY SYSTEM PROPOSED -j PROPOSED PC INDIVIDUAL SYSTEM ❑Conventional TOTAL �j TOTAL 2, PERMIT # SEP Cert51111' ❑Alternative C1S. — c)oSE33 WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL /// ,,/� r L ` 0 ELECTRICITY El OIL PUBLIC Name of water system: ❑ WOODSTOVE 0 PROPANE 0( HEAT PUMP ❑ OTHER: SQUARE FOOTAGE: MAIN FLOOR 1 E 'B17 ! 2 i/3� R OFFICE'USE ONLY 2ND FLOOR Fo .,> 3RD FLOOR UBC OCCUPANCY GROUP HTD BASEMENT UNHTD BASEMENT BASE FEE ?/ CARPORT . '/f T�'d .,�ECri /767 GARAGE '7(02- 2, 6olo STATE 'SURCHARGE )y��rJq'. DECKS TOrII !f 4� • 3, COMMERCIAL A)P c ] INDUSTRIAL RECEIPT # : 1 OTHER CASH/ 11 csc f TOTAL VALUATION or • DATE j ( LI ESTIMATED COST /p3�/v�V rr� IF WATERFRONT PROP /� �5� DISTANCE TO BA K OR HIGH WATER �LINE ft BANK HEIGHT ft SIGNATURE M`— /�`� ��r"/'��--' DATE �21( , NAME (PLEASE PRINT) O/_(/t-.( p �ST-efr) H:WomeyPlncntrl Forms,Bldapp.DCC 5,96 . , JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0533 DATE ISSUED. : 09/23/96 SITE ADDRESS: 612 OLYMPIC RIDGE DR :PORT LUDLOW, WA 98365 APPLICANT. . . :GERALD PHILLIPS PHONE: 765-3784 MAILING ADDR:P 0 BOX 232 :QUILCENE WA 98376 CONTRACTOR. . :TERHUNE HOMES INC PHONE: 360-697-7000 MAILING ADDR:PO BOX 97 :POULSBO WA 98370 CONTR. LIC #:TERHUHI133J7 EXPIRATION DATE: 04/27/97 LOAN LENDER. : MAILING ADDR: PARCEL NO. . . : 821355046 LEGAL DESC. . :STR 35-28-01 EWM, TAX # 231 LOT 10, BLOCK , OLYMPIC RIDGE DESCRIPTION OF IMPROVEMENT: single family residence ( .'j- ootirig/Setbac (Shoreline Setback) y , c y , - ( Foundation: /Z) ?-`� 1 � - ""� y �. ^ r , /d�I 96 ( ) Underground Plumbing/Underground Insulation: ( ) FramingXeumbin /Chimney: �CcJ M fj ©S /( ,�6-9'6 5i�►cApt 6��FtC a� CD ��5-O ( 0 Insular,ion:/: -/. o t,30 o, _ ',^' i4 to - - I ,- .v. .itr2 _ _ - t'� VI i ( Sheetrock: �►�r/ r p - — ( \inal/Occupancy Approval: QK _s/z /„q,` ciiidlizeofQ„,_47 zNTE tr0 GASS Ltm 7 O 0c /_10_4f:0 THIS PERMIT IS VALID FOR ONE YEAR. t-7r? Tr ASK -G/ive`- €,,ors 24 Hour Recorder for Inspections CALL 379L4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Phone Hours 8 - 9 a.m.