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BLD2000-00010
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 #: BLD00-00010 Received Date 01/5/2000 SITE ADDRESS: 396 WOODRIDGE DR Issue Date 01/19/2000 I PORT LUDLOW, Expiration Date 01/19/2001 APPLICANT: BOB EDELBUT PHONE: 1567 29TH AVE W SEATTLE WA 98199 SUBDIVISION: WOODRIDGE VILLAGE DIV 1 Block: Lot: 32 PARCEL NUMBER: 999700032 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC RIDGE PHONE: 360-437-0359 247 OLYMPIC RIDGE PORT LUDLOW WA 98365 Contractor's License: OLYMPR*066JD Expires: 03/25/2000 LOAN LENDER/ NORTH SOUND BANK BOND HOLDER: POULSBO WA 98370 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE w/ATTACHED GARAGE REQUIRED INSPECTIONS;, [I( 0otings/Setbfacks(Shoreline Setbacks): [< -2-(eI)1P© 1,7 eq- [t1 Foundation:' X 71We OT [ ] Underground Plumbing/Underground Insulation: [ ] hear Wall: [ Framin /Plumbin /Undergound Insulati n: O 1 6 [ ] ro ane Tankines. 11 CC (/ / L7 ,( i [ ] Insulation:Pio° NS �t� v//• 4-- 0/( (L 5 000 - V V Sheetrock: [ ] Final/Occupancy Approval: C (L �9.7' . r 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 HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE I:\F_BLD_Permit_Buildng.rpt 10/29/99 I -i 1. c� • f_:,...„. BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00010 Received Date: 1/5/2000 SITE ADDRESS: WOODRIDGE PORT LUDLOW, ( , APPLICANT: BOB EDELBUT PHONE: `l 1567 29TH AVE W SEATTLE WA 98199 r , SUBDIVISION: WOODRIDGE VILLAGE DIV 1 Block: Lot: 32 r. PARCEL NUMBER: 999700032 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC RIDGE PHONE: 360-437-0359 247 OLYMPIC RIDGE PORT LUDLOW WA 98365 Contractor's License OLYMPR*066JD Expires 03 / cal Are W ARCHITECT/ ATILEN NW If t, ENGINEER : 2625 JOHN CARLSON RD I 1 VI ' -ii BREMERTON WA 98311 Rei'.,::` " PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCEatellatter :r TYPE OF WORK RES SQUARE FOOTAGE: P o,,, • ' 1 I ' I C c',1TYPE OF IMP NEW v MAIN: 2,207 VALUATION 128,988.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 1 OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 500 SETBACK: CONST TYPE: DECK: 300 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA. BEDROOMS: BATHROOMS: Wetland /(,-i', Erosion N Exist: Exist: Seismic /t' 4' Streams 11.' Prop: 2 Prop: 3 Flooding f b' e' Landslide i Total: 2 Total: 3 F&W k�/J \ Plat Conditions L7 Shoreline '� 6 ; Aquifer \ -' Routing Date: Forest: Commercial [P'(Y Rural /L ,; ���'�� Proximity ri PR Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,156.15 MAM 01/05/00 23669 Plan Check $346.85 MAM 01/05/00 23669 State Building Code $4.50 MAM 01/05/00 23669 Potable Water Application $30.00 MAM 01/05/00 23669 Total: $1,537.50 I:\F_BLD_App_Bld.rpt 10/29/99 • Jefferson County Department of Community Development January 14, 2000 621 Sheridan Street, Port Townsend,WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: BOB EDELBUT 1567 29TH AVE W SEATTLE WA 98199 Critical Area Review Case Number: CAR00-00012 Project Description: Parcel Number: 999700032 S-T-R: 21-28N-01E Site Address: WOODRIDGE PORT LUDLOW WA, FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. Dpartment of Commur'rify Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 BUILDING PERMIT-APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-0001 0 Received Date: 1/5/2000 SITE ADDRESS: WOODRIDGE PORT LUDLOW, APPLICANT: BOB EDELBUT PHONE: 1567 29TH AVE W SEATTLE WA 98199 SUBDIVISION: WOODRIDGE VILLAGE DIV 1 Block: Lot: 32 PARCEL NUMBER: 999700032 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC RIDGE PHONE: 360-437-0359 247 OLYMPIC RIDGE PORT LUDLOW WA 98365 Contractor's License OLYMPR*066JD Expires 03/25/2000 ARCHITECT/ ATILEN NW ENGINEER : 2625 JOHN CARLSON RD BREMERTON WA 98311 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE / tk) A►Tc,�c9 t.4.r°te' TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,207 VALUATION 128,988.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: A. UNHEATED: #OF STORIES: 1 CONST TYPE: 5N OTHER: SHORELINE: 500 CONST TYPE: pECRKAGE. 300 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 2 Prop: 3 Flooding Landslide Total: 2 Total: 3 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: i:.v Permit $1,156.15 MAM 01/05/00 23669 A riPOVED Plan Check $346.85 MAM 01/05/00 23669 State Building Code $4.50 MAM 01/05/00 23669 •. NI Potable Water Application $30.00 MAM 01/05/00 23669 ‘.1 /Chia erson County Ple ^ Total: $1,537.50 &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 e_ .Jefferson County Department of Community 0evohiment , C.,z 621 San Street,Port Town nd WA 883i68(360]378-4450 PePM : o d o0�ir0 a o n Project Description: Buil4kig Type: Project ype: Fram e: 1 mgle Family ew ood Garage Attached/Detached i Addition 7, Steel Modular 7 Alteration/Remodel 7 Concrete Commercial = Repair Masonry 7. Multi-family/#of Units - Demolition 7 Other: Industrial Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: = Sewer t ommunity System Electricity O Proposed: 2 Proposed: — = Individual System Woodstove ropane Total: Total: If not sewer,fill out the following: 1 Heat Pump Conventional 7, Alternative _. Other Permit# SEP Water Supply: Private well Two Party Well'- ublic:Name of water system: ?ooll.4 C..k.r1ittii- 01(.0,14. (,avkp,,, Square Footage: ' For Office Use Only Main Floor ) a 01) / tl, 917 25 UBC OCCUPANCY GROUP I /5� AND Floor — 0 Base fee ,� 3r Floor 0 Plan Check fee ci y • "---5 Htd Basement 0`-' State Surcharge fee -".`7W Unhtd Basement O Subtotal /,g. 7 S- Garage/Carport S-6 0 � �� v Pot Water Review fee 3©.trR Decks "a 00 911/Rd Approach fee ,Iq, Commercial "0 TOTAL � J e6 r Industrial '"0 " Receipt # c- g 9 Other Cas heck # -C 47 l Total Valuation: / .F, '�//J � Initi !,,fir/ Or Date —, -, e Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and•.. ..r-.1' _ rrson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as are . of or in consequence o .ting of this permit. I further agree to provide cess and is entry to Jefferson C. ty and it's employees,representatives or agent for the purpose of application review and any required later inspections. Access and right of entry t� s property or structure s... be requested and shall occur during regular business hours. Signature: _ Date: k �o0, - 0 Nl \ y ' )„,. Q \ - 110- it 0 e- OT 52 \ ,'o MAN \ .0*111111 ' 4 0 �\ f \ PROrOSE-9- fiOME N \‘:--\ -\ IIP:1 #1441k III \ AI o ... , \ t \kS'xiI\ _I --- --- \ DRIVE 12' k eta \A cS 0 ‘ \ i - * if _ \ ...t,,„11_ \ ...II, 0 \ \ Site Located in Port Ludlow,WA. A EB GHEMAT IG SITE PLAN @G. ri@GI -1--, : 40 @OUTILT[)IGVING OLYMPIG RIDGE CONSTRUCTION EDELBLUT HOME 2115.101 1617EG.cia ��ox Jefferson County Permit Center Department of Community Development k� : c e , 621 Sheridan Street Port Townsend WA 08368(3601379-4450 tirei lUvr -Di r D" _.,.4..frtt-7,,os.••;V Un iitlam cll c# t(e tollowucg 6Iam s as eomelde4 ad Ta le: Project Description: 47 9 Digit Parcel Identification Number(from your tax statement): qaci Site Address 911#: Road Name: (..(90ric2 0 4,1 Or Zip Code: C.i-36,S" Legal Description exi. Subdivision Name: (.,(9000 3 9 e c("II Block: Lot(s): 3� Section: Township:V Range: Parcel Size (acres or square footage): / 14C Property Owner: ‘,/zPho Mailing Address:_,l�-) e)/5,,sore< r ,e,q u ar:.:,,.., � t/q 6 . (, _ 9, 7 ,,r Applicant/Occupant: Phone: (if different from owner) V—_ ye/,;4 ,,i_ I g� OJ,fr? Mailing Address; �,) 0/k r�e �t (f ki 61AV. iPi.)c Authorized Rep: Phone: Mailing Address: -t- General Contractor: Or Manufactured Home Installer: �7°71/r _Q„� Phone: 7�®--cp,.?? -O'ff Mailing Address 1 C.:)/ Contractor's State License Number: 'd0/0� iik 1 C, 3 Lb Expiration Date: y_.2�07 000 Septic Designer: Phone: Mailing Address: ArchitectiEngineer: 4,40? i 0. Phone: Z/^ c s?0 iv Mailing Address: 26.2 N-- ,.r 0 litc,(ia go_ 1 t61,4 (A,/4 . cif?/9 Loan Lender/General Phone: Contractor's Bond Holder: J 14 ,�ap -- 0 ._-- Mailing Address: /� c9GeJb ) • .Y/a«.n.h - FOR OH iCE USE ONLY Fire District: Planning Area: School District: Zone: 4/98 I I\home\pincntr\forms\universal plot plan