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Home My WebLink AboutBLD2000-00109 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 #: BLD00-00109 Received Date 02/14/2000 SITE ADDRESS: 166 GREENVIEW LN Issue Date 02/23/2000 PORT LUDLOW, 98365 Expiration Date 02/23/2001 APPLICANT: MYRON VOGT PHONE: (360)437-4055 166 GREENVIEW LANE PORT LUDLOW WA 98365 SUBDIVISION: GREENVIEW VILLAGE Block: Lot: 2 PARCEL NUMBER: 955600002 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION RESIDENTIAL REMODEL.,,` ONVERT PATIO TO OFFICE/D' REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): t � f [ ] Foundation: t jj l r [ ] Underground Plum•. g/Undergrout $u7ation [ ] Shear Wall: 14 L [ ] Framing/Plu bing: '_ / [ ] Propane Ta k/Lines: s [ ] Insulation: [ ] Sheetrock: [ F Trial/Occupancy pprova'�• ' i HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSP TION. 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 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00109 Received Date: 2/14/2000 SITE ADDRESS: 166 GREENVIEW LN PORT LUDLOW, 98365 APPLICANT: MYRON VOGT PHONE: (360)437-4055 166 GREENVIEW LANE PORT LUDLOW WA 98365 SUBDIVISION: GREENVIEW VILLAGE Block: Lot: 2 PARCEL NUMBER: 955600002 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: RESIDENTIAL REMODEL - CONVERT PATIO TO OFFICE/DEN TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT QtP' MAIN: VALUATION 1,800.00 ADD'L: tag HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 180 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditions Routing Date: Shoreline Aquifer .. (p Forest: Commercial Rural Proximity _ Type Amount Paid By: Date: Receipt: AF pp,m::„)0 Permit $63.15 MAM 02/14/00 24190 E Q Plan Check $18.95 MAM 02/14/00 24190 State Building Code $4.50 MAM 02/14/00 24190 �LLFE� Q nrTotal: $86.60 fferson Co y a &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 �4 oar co Jefferson County I :i 1 artment of Community Development �� , t cz, 621 Sheridan Street Port Town, :nd WA 88368(3601378-4450 ti , � perm .rA o a o G ?s - O 0 n „ , Project Description: Building Type: Project Type: Frame Type: Single Family 2 New N Wood Garage Attached/Detached 2 Addition Steel Modular X Alteration/Remodel = Concrete ▪ Commercial 2 Repair ` Masonry • Multi-family/#of Units ` Demolition 2 Other: • Industrial • Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 3 Existing: Z X Sewer -Community System X Electricity I Oil Proposed: Proposed: — 2 Individual System 2 Woodstove ❑ Propane Total: 3 Total: If not sewer,fill out the following: LI7 Heat Pump Conventional Alternative 1 Other Permit# SEP Water Supply: Private well n Two Party Well X Public:Name of water system: Pr tr'ID i,.0..,) Square Footage: For Office Use Only 1 Main Floor j UBC OCCUPANCY GROUP 2ND Floor Base fee (p?j•IC 3rd Floor Plan Check fee t (6 • 9 S. Htd Basement State Surcharge fee L. • Unhtd Basement Subtotal G (0 0 Garage/Carport Pot Water Review fee 1 Decks 05 'goo 911/Rd Approach fee 1 Commercial TOTAL c p (p ,(o•6 2y ' Industrial Receipt # I c1 V Other Cash/Check# 36$--) Total Valuati . Initials VSCL`- ,,�\ Or lO , _) Date Z•(L{- Z000 Estimated Cost: (J6I If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. 4 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 hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of e try o the applicant's property or st e all be requested and shall occur during regular business hours. Signature: t 1. ' Date: P-.6, (/ 7--- , Jefferson County Department of Community Development ,�sonr coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: R A,o0it- PA-7io To r' tC pErti 9 Digit Pare Identification Number (from your tax statement): q�-� (00 0 a Z Site Address t/ c.0 L4ILJ _ 911#: 1641 Road Name: Zip Code: 98 Legal Description Subdivision Name: GT kCE4fv( J V tt-L-4-&-e- Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): �j-� fa F 7 Property Owner: M Yi20/✓ v Phone: Mailing Address: /06 6.2ctA+l✓ice z AvE P7 Lvo Li w/? 9'd'36 J� Applicant/Occupant: Phone: (if different from owner) 5 Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: .*ft' O ) ,\.., Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: h'/A Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: , /1 Mailing Address: • FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/CO H:\home\pincntr\forms\universal plot plan s ` BUILDING PERMIT APPLICATION c r Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00109 Received Date: 2/14/2000 SITE ADDRESS: 166 GREENVIEW LN PORT LUDLOW, 98365 APPLICANT: MYRON VOGT PHONE: (360)437-4055 166 GREENVIEW LANE PORT LUDLOW WA 98365 SUBDIVISION: GREENVIEW VILLAGE Block: Lot: 2 PARCEL NUMBER: 955600002 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: RESIDENTIAL REMODEL - CONVERT PATIO TO OFFICE/DEN TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT ►.U, MAIN: VALUATION 1,800.00 ADD'L: a HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY. R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: �gfl SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland /00 Erosion .4)C .� Exist: Exist: Seismic A)iT) Streams (,.J Prop: Prop: Flooding A9 6 Landslide N Total: Total: F&W 6,5 Plat Conditions Ye S Routing Date: Shoreline /t,)/� - Aquifer Z • Forest: Commercial r ) Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $63.15 MAM 02/14/00 24190 Lyi Plan Check $18.95 MAM 02/14/00 24190 State Building Code $4.50 MAM 02/14/00 24190 Review Total: $86.60 6, :;, t. vs, .s I:\F_BLD_App_Bld.rpt 10/29/99 j Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name 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 Yes •' No property or on any nearby property at any time during the year? If YES, please describe: 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 Yes No on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any _ YES 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) q o 4 Q o ❑ r r / , rr , rr „ i , , , r„/ / I / , r„/I,, ,• ,, (Questionnaire Continues on Back) Page 1 of 2 • 6. Does the site have steep slopes with little to no vegetation? _ YES ' No If YES, please describe: 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 YES NO surface of the ground? If YES, please describe: 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 hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature Date 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 Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 U! 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