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HomeMy WebLinkAboutBLD2000-00006 411011. ti BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00006 Received Date 01/4/2000 SITE ADDRESS: 31 MONTGOMERY LN Issue Date 02/17/2000 PORT LUDLOW, Expiration Date 02/17/2001 APPLICANT: HELGE CHRISTENSEN PHONE: (608)829-5520 7700 MINERAL POINT RD MADISON WI 53717 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990900001 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License: KELLES1150LF Expires: 05/28/2000 LOAN LENDER/ AMERICAN BANKERS BOND HOLDER: 155 NE 100TH STE 303 SEATTLE WA 98125 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE w/ATTACHED GARAGE REQUIRED INSPECTIONS: [ ] ootrn /gs Setbacks (S oreline Setbacks): [ ] [ Foundation: t<�12Zf dam, ] Plu _ in /underground jf Ins lation: / 00 -- e!'l s oo (Do ( ] (Faming/Plumbing: pp [ ] Propane Tank/Lines: [ ] Insulation:®( G COgiti [`] Sheetrock: O -G/ lo0,7/11"-- [ '] Final/Occupancy Approval: J/24/6C) fv 71 HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE 14/14 HOT LINE AVAILABLE 24 HOURS A DAY 4111111. BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00006 Received Date: 1/4/2000 SITE ADDRESS: MONTGOMERY LN PORT LUDLOW, APPLICANT: HELGE CHRISTENSEN PHONE: (608)829-5520 7700 MINERAL POINT RD MADISON WI 53717 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990900001 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLESI150LF Expires 5/28/00 ARCHITECT/ LINDBERG/SMITH ARCH ENGINEER : 260 KALA POINT DR PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW (11 VALUATION 193,188.00 MAIN: 1,868. 142.4 CODE EDITION: 1997 ADD'L: eb HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: 9-7592 6a.6 HEAT TYPE: OCCUPANCY: UNHEATED: -44£r ?68�# OF STORIES: 1 CONST TYPE: 5N OTHER: '�'"/b v—i ,30.74t CONST TYPE: GARAGE: „682, SHORELINE: DECK: ,3tt`( SETBACK: SEWAGE DISPOSAL: CMY BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Wet and STORMVVATER: YES NO AREA Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 3 Flooding Landslide Total: 3 Total: 3 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,520.15 MAM 01/04/00 23662 Plan Check $456.05 MAM 01/04/00 23662 APPROVED State Building Code $4.50 MAM 01/04/00 23662 Potable Water Application $27.00 MAM 01/04/00 23662 Total: $2,007.70 F R 1 7 20'r oh C a�' �/ P--r,. A��t�r� c am, 9 rso bounty Punning 4'i , D is�► & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 ON �r Jefferson County Permit Center Department of Community Development (k.4 , �, . 621 Sheridan Street,Port Townsend WA 88368[3601370-4450 �h l� � ' i "?s z0.,-_,. .- ° erm0t �ITN�.,/ Appoll ?cffy 0 0 Project Description: 'h1 (-L..) S NelLE Frnyvk tr t i p & Building Type: Project Type: Frame Type: 't) Single Family 'y New y Wood ❑ Garage Attached/Detached ❑ Addition . 0 Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/# of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: 0 Sewer (Community System 0 Electricity ❑ Oil Proposed: Proposed: Z ❑ Individual ystem 0 Woodstove k2ropane Total: 3 Total: Z If not sewer,fill out the following: 0 Heat Pump 0 Conventional 0 Alternative ❑ Other Permit # SEP Water Supply: 0 Private well ❑ Two Party W.11 0 Public:Name of water system: 1� Square Footage: �� # ,,cb �3,�p5, For Office Use Only Main Floor 1`\ I l $(o 6 ' UBC OCCUPANCY GROUP 2ND Floor �0'1 - I � 4.1 Base •cl C , n 83° �!v � fee 1 a SG �V 3rd Floor — 311;'‘)....0 �� cb 3 , �� Plan Check fee 377. � . 03 317" Htd Basement is 1 3q 2 /1 �,�9 State Surcharge fee • ^d Unhtd Basement 1�( , Al (o ,6 ) 5� �U Subtotal / �� . 2(� I Garage/Carport S 1C0 (o�2 ��� Pot Water Review feeA_M A"7• 0 G Lill 'a Decks 7)144 2-op f Cr'-'31,\ 911/Rd Approach fee y CI, Uv Commercial • - TOTAL (5k© (p 0 J''% Industrial — Receipt # < _ Other e-fr. Cash/Check # C /O 3/ Total Valuation: . — InitialsOr \--6 �ci3 � ) Date /— q- co Estimated Cost: 1'� 4 If within 200' of the Shoreli , J fr Distance to Bank or Ordinary High Water Mark N` ft. Bank Height ft. Signature: —PANS ? - O UP Date: l '� ba �� l � �o�v cQ Jefferson County Permit Center * Department of Community Development 4k q. 621 Sheridan Street.Port Townsend WA 08368(3601370-4450 c ' . sti 0 LNGUuvr ©. 9&em tie icitiouerg &aria as eascfrletey ad, acete: • IIProject Description: 9 Digit Parcel Identification Number(from your tax statement):99 co OQ I "2_-- Site D 0 Address 1-��911#: ( Road Ni\' 'el: CV,o Zi Code: P Legal Description Subdivision Name: .-A- cd•) I Block: 5 I Lot(s): \ + "- Se cti o n: 1 Township: I Range: Parcel Size (acres or square footage): 1/2_, .4.3 + Property Owner: , }kti63G e_t istI) V I Phon Mailing Address: 1100 VA 1 ry 1:1241. (t }-'T. I2 - M Prtti cQ i") t WI s 3'I 11 Applicant/Occupant: Phone: (if different from owner) Mailing Address: —� Authorized Rep: tLet.t�l;,`i s r41 � s ` JMailing Address: C°` Phone:3t� " �✓$ '' 5�a General Contractor: -y s: c lL U' l Sp 2 t�g } na L•, Phone:Qzj ) ' , -i 1 51 Mailing Add s 0 1 ..A ter. - r Contractor's State License tuber: - s I Expirati : Septic Designer: Phone: Mailing Address: J Architect:/Engineer: Phone: Mailing Address: 'tom o l �- (1�t,. . . -1--- Loan Lender/General Phone: Contractor's Bond Holder: t C/J (3Atu1c j O 9 2_ --. �,b ingAddress: -1,„ Mai �- rzz q- 1 d Li And Sti/i-" ;03 — S�� ( L <:„ -g i g FOR;0iilI tir .:GNti :: i Fire'Distrlct: Planning,Areal: 'I School DIStr1Gt. l•Zone ..: 4/98 H.\home\pincntr\forms\universal plot plan • -a- s ' 1>(1% A 1 7 ,. Cisg5C43444 ------/ ' \ P PNY ,.,•-'-(6‘ -- r \ _...,,, Z ,f.'‘ ' • el,... _ . % . .. / ,....... .......„ I Or- • , mow — • • • S t o , 2-` t °T) \\\\ .. . 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