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HomeMy WebLinkAboutBLD2000-00192 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 #: BLD00-00192 Received Date 03/27/2000 SITE ADDRESS: 354 HIGHLAND DR Issue Date 03/30/2000 PORT LUDLOW, 98365 Expiration Date 03/30/2001 APPLICANT: PATRICK G ALLEN PHONE: (360)779-3811 PO BOX 2914 POULSBO WA 98370 SUBDIVISION: SOUTH BAY#1 Block: Lot: 41 PARCEL NUMBER: 995500041 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: CREATIVE DESIGN BUILDERS INC PHONE: (253)840-1722 7619 144TH ST CT E PUYALLUP WA 98373 Contractor's License: CREATDB066QG Expires: 11/07/2000 LOAN LENDER/ CMC MORTGAGE BOND HOLDER: AMERICAN MARINE BANK 6800 OAK BAY RD PORT LUDLOW WA 98365 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [`]Footings/Setbacks)Shoreline Setbacks): a C 5- 0 [ Foundatio • 5 a [ ] Underground Plumbing/Undergro nd Insulation: [ ] Shear Wall:C ctkal Ok 7frJpi/ [ ] Framingtlumbin X & _ [ ] Propane Tank/Lines: �� [ ] Insulation: IA? l(S 1/c�r 1 CCi (7(C 7 710017A [t} G-"eetrock: Final/Occupancy Approval: 0 - 000j 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 • ,� BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00192 Received Date: 3/27/2000 SITE ADDRESS: HIGHLAND DR PORT LUDLOW, 98365 APPLICANT: PATRICK G ALLEN PHONE: (360)779-3811 PO BOX 2914 POULSBO WA 98370 SUBDIVISION: SOUTH BAY#1 Block: Lot: 41 PARCEL NUMBER: 995500041 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: CREATIVE DESIGN BUILDERS INC PHONE: (253)840-1722 7619 144TH ST CT E PUYALLUP WA 98373 Contractor's License CREATDB066QG Expires 11/07/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: No ,___ VALUATION 100,194.00 ADD'L: S`fo HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 479 SHORELINE: CONST TYPE: DECK: 550 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland 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 $999.35 MAM 03/27/00 25487 Plan Check $299.81 MAM 03/27/00 25487 /\ State Building Code $4.50 MAM 03/27/00 25487 Potable Water Application $30.00 MAM 03/27/00 25487 MAR 3 0 ZilU Total: $1,333.66 Jefferson County Planning &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 /s�N Jaffersoii County Department of Community Development 4 °o ' 621 Sheridan Street,Port Townsend WA 88368[3601378-4450 (4`v { ti erms ?,° a ° o , . . : o pUc ©o _ o 0 G_ I1,� Project Description: Building Type: Project Type: Frame Type: ''Single Family /.- New K Wood Garage Attached/Detached i Addition J Steel Modular _; Alteration/Remodel H Concrete _J Commercial _I Repair : Masonry Multi-family/#of Units _= Demolition E. Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ` Sewer Community System KElectricity C. Oil Proposed: -3 Proposed: 2 Individual System Woodstove Li Propane Total: .3 Total: 2`S If not sewer,fill out the following: E Heat Pump :II Conventional ❑ Alternative Other Permit # SEP Water Supply: r,)r Private well i Two Party Well Public:Name of water system: ( 0 2( Lc-ft ccG pIpic tt,97 11 F-T Square Footage: ,r/ For Office Use Only Main Floor — / . Y! °0 (0 30 Z UBC OCCUPANCY GROUP 2ND Floor _ 59b - Base fee C CI q. 3rd Floor Plan Check fee 2 9 rrc •$ i Htd Basement State Surcharge fee �T Unhtd Basement Subtotal I o 3 •b S6 Garage/Carport 7 l I ° Pot Water Review fee (D bp Decks _ -5 S1)'s 5)C) 911/Rd Approach fee 51 CO Commercial TOTAL 1 J V •6t° Industrial Receipt # a ? Other Cash/Check# J0-.5 Total Valuation: j __ Initials (/� Or Date 3' `D--)'U) Estimated Cost: `,/` C- U o 0 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 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 oftry 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,,Ifr perty or structure shall be requested and shall occur during regular business hours. �Cuc'` Signature: Date: v/6)AO Sy' t , `� \ e"A C, : I =,,2D ' 1 ?o 'oX 0.77/ `1' ?a,"11fo, t.i4•. 98370 is OQ ? P 3'40 - 771 - 38 // f$ & ?..t.eC L # /030o 7 -t.e7S CO 1....417- 4.1/ / , r-c ,,,,-iE 41ze-5- iax.7- 4 at-.atJ, L iA . 183-4S --•7a.i 004e,r, -141 ----7 , _1, , , , ...c._ (---- ---------- , \ 6,,e06a.C_I) , . . , q c ,.,)4 savri.Ar , ?e......mg 1-0A-reit- 1::: I \\A4, 1 MLA dAill DX. Jefferson County Department of Community Development /� ox coa 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 w •; Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: cci' t6CE- F3cc 1ZCS►DGL./C 9 Digit Parcel Identification Number (from your tax statement): O—obi Site Address 911#: 'it37 Road Name: f i i'i-Je41„lb 62,Liic. Zip Code: 9&3C Legal Description Subdivision Name: &).t-j l/ 4 — Block: Lot(s): L/I Section: Township: tol� Range: Parcel Size (acres or square footage): Property Owner: P Rick_ ���� � ! Phone:/( a) I Mailing Address: d`�^f Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: C,L1}11VE DEZt64 �UJ(-)EL Or Manufactured Home Installer: (� Phone: 69.,S3) c/o /77 7 Mailing Address: I I L i r) w ookft. o E E: T�'t yA- Pf ne 9. 1 g39,3 Contractor's State License Number: � )a �� Expiration Date: /ef7/Zø Septic Designer: tj 1,4 Phone: Mailing Address: Architect:/Engineer: n4 14 Phone: Mailing Address: Loan Lender/General Cie m6Q•T6l}fgEf E 1ilg„je-- 944— Phone: Contractor's Bond Holder: Mailing Ad ess: p FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan UHLUO UU1(=4, BUILDING PERMIT APPLICATION Jefferson County Department of Community Development . 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-001 92 Received Date: 3/27/2000 SITE ADDRESS: HIGHLAND DR PORT LUDLOW, 98365 APPLICANT: PATRICK G ALLEN PHONE: (360)779-3811 PO BOX 2914 POULSBO WA 98370 SUBDIVISION: SOUTH BAY#1 Block: Lot: 41 PARCEL NUMBER: 995500041 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: CREATIVE DESIGN BUILDERS INC PHONE: (253)840-1722 7619 144TH ST CT E PUYALLUP WA 98373 Contractor's License CREATDB066QG Expires 11/07/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 540 VALUATION 100,194.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 479 SHORELINE: CONST TYPE: DECK: 550 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW -5 WATER SYSTEM: LUDLOW STORMWATE YES NO ,VJ AREA BEDROOMS: BATHROOMS: Wetland MO Erosion U Exist: Exist: Seismic QC Streams NO Prop: 3 Prop: 3 Floodin f C) Landslide N 0 Total: 3 Total: 3 F&W Plat Conditio s Z� Shoreline kJ) Aquifer Routing Date: 3 , Forest: Commercial j Rural ' Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $999.35 MAM 03/27/00 25487 Plan Check $299.81 MAM 03/27/00 25487 Critical Area State Building Code $4.50 MAM 03/27/00 25487 (, Potable Water Application $30.00 MAM 03/27/00 25487 GF- � � Total: $1,333.66 sttcater 1:v 0,,, �n'�i� I:1F_BLD_App_Bld.rpt 10/29/99 J.efferson County Department of Community Development • March'29, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: PATRICK G ALLEN PO BOX 2914 POULSBO WA 98370 Critical Area Review Case Number: CAR00-001 22 Project Description: Parcel Number: 995500041 S-T-R: 21-28N-01E Site Address: HIGHLAND DR PORT LUDLOW WA, 98365 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance.4-atLik.})Department of Communit eveiopment Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 . ii, - r id w'r'V c — W n cv � S A 0 Zy -I \ 18 O O U d in W- ■a _1 - 0mp=Z�1 _il r O c o 8 , 8E 1 .` — o r: I a g •o-g v w$ 0.9 0 -o 0 • a d d J 11 g '6 a�Q o e V $ b a WN kilo o L Ly C o 0- i O O c co �gz 'g tt`• o CO a le n, -`o e • n U 6N i�9F, u ca o c'E 8 0 $ C ° i 'a i s g uE e Ehfl ! % W ' = n a . 8 oe6 o $ $ 07 c a c c . o a w' . . 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