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BLD2000-00260
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 #: BLD00-00260 Received Date 04/27/2000 SITE ADDRESS: 104 HE RITAGE ERITAGE LN Issue Date 05/5/2000 PORT LUDLOW, 98365 Expiration Date 05/5/2001 APPLICANT: PHYLLIS HEGGEN PHONE: (360)437-5191 104 HERITAGE LANE PORT LUDLOW WA 98365 SUBDIVISION: TIMBERTON VILLAGE PHASE I Block: Lot: 27 PARCEL NUMBER: 998500027 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: CLAUSON HOMES PHONE: (360)373-7455 1011 PENNSYLVANIA AVE BREMERTON WA 98337-1140 Contractor's License: CLAUSH*033DG Expires: 03/07/2001 LOAN LENDER/ COLONIAL AMERICAN CASUALTY BOND HOLDER: PROJECT DESCRIPTION ATTACHED GARAGE REQUIRED INSPECTIONS: Fooi:ings/Setbacks (Shoreline Setbacks): h o--.,oP(, 577 ��D0�// ,/ [ ] Foundation: G � [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ C /c `772,/cyo [ ] Propane Tank/Lines: [ ] Insulation: [ ] A L cite [ 1 anal/0 cupancy Appr al: HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO F AL 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 1 HOT LINE AVAILABLE 24 HOURS A DAY • - ' s BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00260 Received Date: 4/27/2000 SITE ADDRESS: 104 HERITAGE LN PORT LUDLOW, 98365 , APPLICANT: PHYLLIS HEGGEN PHONE: (360)437-5191 104 HERITAGE LANE PORT LUDLOW WA 98365 SUBDIVISION: TIMBERTON VILLAGE PHASE I Block: Lot: 27 PARCEL NUMBER: 998500027 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: CLAUSON HOMES PHONE: (360)373-7455 1011 PENNSYLVANIA AVE BREMERTON WA 98337-1140 Contractor's License CLAUSH*033DG Expires 03/07/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,380.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 228 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: PUBLIC 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 Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: A •l •.° d/ t� Permit $97.25 MAM 04/27/00 30680 + [� Plan Check $29.18 MAM 04/27/00 30680 ` a-c-Q �U' ��r!1 State Building Code $4.50 MAM 04/27/00 30680 ``1 g \ Total: $130.93 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County I I artment of Community Development 621 Sheridan Street,Port Town; nd WA 88368(360]378-4450 ,perm: cz. ppic © Project Description: Building Type: Project Type: Frame Type: ❑ Single Family ❑ New g Wood X Garage Attached/Detached X Addition ❑ 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: 11 ` 7C Sewer ❑Community System ❑ Electricity Oil Proposed: ' Proposed: A/� ❑❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: t ❑ Private well Two Party Welly Public:Name of water system: ay wt�+t c. a.+RA- Ana See r Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee -1- _ 3rd Floor Plan Check fee Htd Basement State Surcharge fee L���- (—�--� Unhtd Basemen g Subtotal �.✓ 1 Gara e/ +-� Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 0 3 Industrial Receipt# . V Other Cash/Check# C'? Total Valuation: Initials Or Date 4 -2 L 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 alests that the information provided herein is true and cone 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 sight of entry to Jef arson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of en lican' property or ssttllructure shall be requested and shall occur during regular business hours. Signature: Date: ()4/25/O1) '. . . WOO .0017 j 1 ,�— BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00260 Received Date: 4/27/2000 SITE ADDRESS: 104 HERITAGE LN , PORT LUDLOW, 98365 APPLICANT: PHYLLIS HEGGEN PHONE: (360)437-5191 104 HERITAGE LANE PORT LUDLOW WA 98365 SUBDIVISION: TIMBERTON VILLAGE PHASE I Block: Lot: 27 PARCEL NUMBER: 998500027 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: CLAUSON HOMES PHONE: (360)373-7455 1011 PENNSYLVANIA AVE BREMERTON WA 98337-1140 Contractor's License CLAUSH*033DG Expires 03/07/2001 ARCHITECT! ENGINEER : PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,380.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 228 CONST TYPE: DECK: SETBACK: (� BANK HEIGHT: SEWAGE DISPOSAL: SEW m�"Q '-5 ( '_- WATER SYSTEM: PUBLIC STORMWATER: YES NO AEA BEDROOMS: BATHROOMS: Wetland A.)`J Erosion $JO Exist: Exist: Seismic J Streams tiO Prop: Prop: Flooding N Landslide_ / kE 1/, --- Total: Total: F&W ArUy1 Plat Conditions Routing Date: Shoreline ti� Aquifer - ao Forest: Commercial AYU Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 MAM 04/27/00 30680 ° Plan Check $29.18 MAM 04/27/00 30680 '� F'� �a '`�` ` �` State Building Code $4.50 MAM 04/27/00 30680 Review ��/ ��G-r Total: $130.93 �'/ Requkedev (171/&IP I:\F BLD App Bld.rpt 10/29/99 Jefferson County Department of Community Development May 5, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: PHYLLIS HEGGEN 104 HERITAGE LANE PORT LUDLOW WA 98365 Critical Area Review Case Number: CAR00-00173 Project Description: Parcel Number: 998500027 S-T-R: 17-28N-01E Site Address: 104 HERITAGE LN 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 bajA Dei ftment of Community velopment Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 TI hil i s He59e n, . f o'f H er l c o e Uri ft L vii Ioty, WA 9834 N2.0 4375191 e_pnH. 13/O'/ a r. &t n iii o rnes Noo 710 4515 --k________________ >77 I /hr• ,j7; GAO W 4-4".5‘0 cQ h o.rs'r GJa (( f ov 11 z .c pw e-ds-rw . V M A GARAGE_ N n APPROVED ';,, ,-sue MAY 0 5 2000 Jefferson County Planning A &Building Department CliA Y /Orr Lo0R PLAN `=3).....te-1 6C, Ie. 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