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HomeMy WebLinkAboutBLD1995-00566 • JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0566 DATE RECEIVED. : 10/06/95 SITE ADDRESS: 824 BYWATER WAY :PORT LUDLOW, WA 98365 APPLICANT. . . :JAMES HAGEY PHONE: MAILING ADDR: 6731 SE OLALLA VALLEY • :PORT ORCHARD WA 876-7604 CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . :STEALE KRANK DESIGN PHONE: 360-876-6242 DESIGNER •PO BOX 21 MAILING ADDR: :PORT ORCHARD WA 98366 PARCEL NO. . . :821355027 ALT: CON : LEGAL DESC. . : STR 35-28-01 EWM, TAX # 231 BY: DATE: LOT 15, BLOCK , BRIDGEVIEW #3 WATER: DATE: CAR : DATE: DESCRIPTION OF IMPROVEMENT: single family residence BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1620 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 1330 sf GARAGE/CARPORT • PROP. . : 4 PROP. . : 2 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 4 TOTAL. : 2 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC OTHER • 0 sf TYPE OF CONST WATER SUPPLY. :PWELL CRPT/GAR. . : 0 sf UNITS. : 0 STORIES: 2 HEAT TYPES. :HTP/ / DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 147205 SIZE: BANK HT. . . : 0 ft PROJ G12P. . : 716 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 1127 . 25 AK 10/06/95 112426 Date: PLCK $ 338 . 18 AK 10/06/95 112426 B.C. $ 4 . 50 AK 10/06/95 112426 Issued By: Date: Cj+J $ 1469 . 93 TOTAL 9 s JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0566 DATE ISSUED. : 11/13/95 SITE ADDRESS:824 BYWATER WAY :PORT LUDLOW, WA 98365 APPLICANT. . . :JAMES HAGEY PHONE: MAILING ADDR: 6731 SE OLALLA VALLEY :PORT ORCHARD WA 876-7604 CONTRACTOR. . : phQA/ PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / LOAN LENDER. :WA FEDERAL SAVINGS & LOAN MAILING ADDR: 10116 NE 183RD :BOTHELL WA PARCEL NO. . . : 821355027 LEGAL DESC. . : STR 35-28-01 EWM, TAX # LOT 15, BLOCK , BRIDGEVIEW #3 DESCRIPTION OF IMPROVEMENT: single family residence ( Footing/Setbacks (Shoreline Setback) : ( i-7 Foundation: p* /��y_'i & CJ1i ( ) Underground Plumbing/Underground Insulation: ( kr‘min Plu kzln Chimne 1 ( k sulation:O k ( ) Sheetrock: - - (Final/Occupancy Approval: -�. !�' 1,0E,i5rr THIS PERMIT IS VALID FOR ONE YEAR. 24 Hour Recorder for Inspections CALL 379-4455 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. *JEFFERSON COUNTY BUILDING PERMIT, APPLICATION . BUILDING TYPE IMPROVEMENT TYPE Nit SINGLE FAMILY ❑ MOBILE ` NEW BUILDING ❑ MODULAR 0 ALTERATION ❑ ADDITION 500+/500- ❑ GARAGE ATTACHED/DETACHED REPA IR 0 WOOOSTOVE 0 REPAIR ❑ MULTI-FAMILY/UNITS 0 DEMOLITION ❑ COMMERCIAL 0 RELOCATION 0 INDUSTRIAL ❑ HOTEL/MOTEL/DORM/UNITS ❑ OTHER UBC OCCUPANCY GROUP DESCRIPTION OF IMPROVEMENT: SQUARE FOOTAGE PRIN LE TYPE OF HEATING FUEL MAIN FLOOR / C 4 2ND FLOOR / _jl� 0 ELECTRICITY 0 OIL 3RD FLOOR 0 WOODSTOVE 0 GAS HTD BASEMENT HEAT PUMP 0 OTHER UNHTD BASEMENT CARPORT GARAGE PRINCIPLE TYPE OF FRAME DECKS 5Z WOOD 0 MASONRY COMMERCIAL INDUSTRIAL 0 MANUFACTURED ❑ OTHER OTHER ❑ STRUCTURAL STEEL TOTAL VALUATION OR ESTIMATED COST TYPE OF SEWAGE DISPOSAL: 0 SEWER 0 INSTALLED 19 SEPTIC SYSTEM N6 NOT INSTALLED 3,n9L�0� TYPE OF WATER SUPPLY: PRIVATE jj b- 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 �-r��� TOTAL NUMBER OF BEDROOMS _ NUMBER OF PROPOSED BATHROOMS =-L_ TOTAL NUMBER OF BATHROOMS '-` P IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER BANK HEIGHT -- SETBACK SIGNATUREC DATE : t 2ar . - APPLICANTrA4 E (PLEASE PRINT) iYie g;(,(ee Jefferso. 4ty Permit Center Date 621 Sneric. ,i Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name cad w e5 , 4 $I z,'tr1 k, kr/ Building Application _ Land Use Application Shoreline Application On-site Sewage Application Subdivision Application Other: 1 . Is there any standing or running water on the surface of the ,I( YES NO property or on any nearby property at any time during the year? If YES, please describe: Secpa/e cl`oirt ex;5-+r,i1 ba-ok �e r5 Synall crc wire,. 4° vile, 02" de©, r4on47 east i%WWh 4444-e '5'7 4f 4 /,X, /c' -fro., buii11in1 silt, 2. Has any portion of the property or any nearby property ever been YES NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present 7 YES NO on your property or adjacent properties? If YES, please describe: Small S-71a-l/ of yottnf Q/4/f (/yt-g/�f® SOw7`4i cni e f/rept ,oo Ai o%�� /iCac, J 4. Are there any indications on any portion of the property or on any YES ,b 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) 9 ❑ 4 Q $1' 4 ❑ / , .n / i i i / ♦ -, / / / / / ♦ ♦ , , r / i / i ♦ ♦ • ,' .❑ 1 / iii ♦ ♦ ,�,,,'-.,. isi 1 1 / / / / / „„,„ , „ „ _...., -- i////,,,,.,-�.-' . ... IV i�iii♦♦,,,.„.•. .-' _ uni i,,.. _ --' _---cJ - 0 (Questionnaire Continues on Back) 6. Does the site have steep slopes with little to no vegetation? a YES r< NO If YES, please describe: Stee? S/a e, ato, 'x, 30'I ', .' / y A k'a 1 7. Does the site contain high percentages of silt and/or very fine YES NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the x YES NO surface of the ground? If YES, please describe: RS 5+4,4e1 ire flesi'%d4 / 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 maybe reversed if it develops that any such statement or other information contained herein is false. Signature teln/ cy Date /f e /,99c FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: co (...15 ❑ ❑ ❑ zo ❑ ❑ 00000 v � 0 ❑ ❑ ❑ ❑ ❑ o0Z L� N Dap W N � pcDoo V CnA W N � 3 0 d. fD a •� •p a m y 0 ° y D c •O Q N (A f� fD p D cc m �' =. , y -, y o CO -1 < m c m p x m m 0 Z o Z -4 y' 0 ,f• O O �D n C O m a C N CO' Vl y• a d d o� O O '* to T n v ,< y CD 7 fD y ? co •,G C O 1 .* t� _ •I C y co- S CD— N O .0 7OC' S O ,�� j (D O -n C C] O y C O t% 0 O O y CD z' y o �. �' O Cl o S m o c a c m ° rD- a a ° °,�' y �• °;• �p n _m ry X.a CD y N a 7 to h n a O -• =• z a m -I y a a cnD fD a ='cn y y m y a ? d y co CT a C a m o n3, ° " 0 ° m y y n m O' ,:-.r• — a ? �. c y ° :`-' y -Oi, fD cn -�, CD d O .n•F O � =' _S cD O v n .M 47 m O CU y co O "� y ] y d O y S IS' O .r y co co O 0 7 c a .� a �• o y a O co 5' ? o CD m o r,. o a s a, 3 S c. v y y o m o o '* -iii CD d -, O O rt O n D) (n y f7 fl) < O faD CCDD CD CD �.o y. 0� (D 1 0 0. * n y O . ttlf W `F 1 tii , \\\ Cam' Ltz Mari t, te -yc of • ii i„ I I 1 ...„,„, ,f- .....,.., \ ,... _ ,. 1 ., ..„..,. o ...., ..:)--..,:'\ , )11 { c i • ttlizai CS e- Z a cc i p 1 II P C 0O L C H 7 L CD 7 II I O N- `r- II I C V- I II I 0 IU L. a II I •- O ii I v. 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