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HomeMy WebLinkAboutBLD2000-00294 a 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 #: BLD00-00294 Received Date 05/9/2000 SITE ADDRESS: 75 SEAFARER LN Issue Date 05/16/2000 PORT LUDLOW, 98365 Expiration Date 05/16/2001 APPLICANT: NORMAN CRUMP PHONE: (360)437-2134 PO BOX 65203 75 SEAFARER PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 186 PARCEL NUMBER: 990603186 Section: 09 Township: 28 N Range: 01 E CONTRACTOR: NORDIC SERVICES PHONE: (360)792-2565 9618 MEDVALE N SEATTLE WA 98103 Contractor's License: NORDISI180QA Expires: 01/01/2001 LOAN LENDER/ DEVELOPERS INSURANCE CO BOND HOLDER: PROJECT DESCRIPTION REPAIR TO FIRE DAMAGED RESIDENCE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Propane Tank/Lin • 4 c9 4( g� -4001 /2L [ ] Insulation:(C /c % 06),: . 111 [.17 Sheetrock: tad i< V7.-6700L>iir [ Flna cam'c p cy ApproVak &/( / /2., //f HEALTH DEPARTMENT APPROVAL REQUIR 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 I 1 l , BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00294 Received Date: 5/9/2000 SITE ADDRESS: 75 SEAFARER LN PORT LUDLOW, 98365 APPLICANT: NORMAN CRUMP PHONE: (360)437-2134 PO BOX 65203 75 SEAFARER PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 186 PARCEL NUMBER: 990603186 Section: 09 Township: 28 N Range: 01 E CONTRACTOR: NORDIC SERVICES PHONE: (360)792-2565 9618 MEDVALE N SEATTLE WA 98103 Contractor's License NORDISI180QA Expires 01/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: REPAIR TO FIRE DAMAGED RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: 1,419 VALUATION 204,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: 1,435 HEAT TYPE: HTP OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 696 SETBACK: DECK: 397 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural 1-'r xlmltyV - Flat ConditionsType Amount Paid By: Date: Receipt: Approved/Date Permit $1,576.15 MAM 05/09/00 30847 P 6�9x. y Plan Check $472.85 MAM 05/09/00 30847 \r,c-rX State Building Code $4.50 MAM 05/09/00 30847 MAY 1 5 2000 Total: $2,053.50 Jefferson County Planning & Building Department i:\F_BLD_App_Bld.rpt 10/29/99 �4SON Jefferson County 11,1 artment of Community Dose!opi nest ° 6213tsan Street,Port Town nil WA 88368[360]378-4450 47 ``e r3 0Prm n Project Description: Building Type: Project Type: Frame Type: 111, Single Family ❑ New Y. Wood X Garage Att cam/_Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial mil Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: -3 Existing: 3 ❑ Sewer ❑Community System .R Electricity ❑ Oil Proposed: Proposed: Si Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: A Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only rJ Main Floor I L1 I l UBC OCCUPANCY GROUP 2ND Floor -,6/ Base fee / 5 3-(,, _ i 5 3rd Floor .-er Plan Check fee id -2. - 5 Htd Basement 14 .3 C State Surcharge fee 14 - 5V Unhtd Basement Subtotal 'L)s 3 . 5 O Garage/Carport (e`( Pot Water Review fee Decks I ' 911/Rd Approach fee Commercial TOTAL 20 g 3 5-0 Industrial Receipt # Other Cash/Check# Total Valuation: Initials Or ayy Date Estimated Cost: ` --- If within 200' f the Shoreline, 1 Distance to Bank or • ter 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 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: — ,t ___,...-•"-- Date: ``-- ,- `_ 0 0 1 Jefferson County Department of Community Development Co 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): , 6f 7 ',o i+ ALo Site Address 911#: 7 S Road Name: E-Oc ?. .E rZ Zip Code: 7 Q e 3(S- 9‘'s� Legal Description A' 1k Subdivision Name:, i„ t,`c .\. L.0 -2. Lot(s): j (® Section: Township: Range: Parcel Size (acres or square footage): Property Owner: Phone Mailing Address: Applicant/O-*rtt: Phone: N `ic..�t�tL�tF � �- to d _ 7g2 2S6S (if different from owner) - 4„�,�,y u5 3 Mailing Address: Authorized Rep: // Phone:3 4,0 7 j 2 26 G Mailing Address: ';,, u. \k 1,Z z `f_32_. --00. ((;, etc3 General Contractor: Or Manufactured Home Installer: k..\„,b 3.14L Phone: Mailing Address: Contractor's State License Number: it, 5 Expiration Date: cA. Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: , Loan Lender/General 'k"`) f_\®.. ��;� Phone: Contractor's Bond Holder: —_ c7- Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00294 Received Date: 5/9/2000 SITE ADDRESS: 75 SEAFARER LN PORT LUDLOW, 98365 APPLICANT: NORMAN CRUMP PHONE: (360)437-2134 PO BOX 65203 75 SEAFARER PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 186 PARCEL NUMBER: 990603186 Section: 09 Township: 28 N Range: 01 E CONTRACTOR: NORDIC SERVICES PHONE: (360)792-2565 9618 MEDVALE N SEATTLE WA 98103 Contractor's License NORDISI180QA Expires 01/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: REPAIR TO FIRE DAMAGED RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: 1,419 VALUATION 204,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: 1,435 HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: NST TYPE: SHORELINE: GARAGE: 696 U\111(L' U r ,CO � CONST TYPE: SETBACK: DECK: 397 BANK HEIGHT: SEWAGE DISPOSAL: SEW I) 011 5 r WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland AJ Erosion Prop: 3 Prop: 3 Seismic k O Streams C 0 Total: 3 Total: 3 Flood WayCD Flood Plane 5 ] F&WCO Landslide ` Routing . Date: 1 / Shoreline fJ O Aquifer Forest: Commercial IL44.r Rural 1-'r xlmity Flat uond Ions ti Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,576.15 MAM 05/09/00 30847 �.. . Plan Check $472.85 MAM 05/09/00 30847 i, 0, ti State Building Code $4.50 MAM 05/09/00 30847PeVieW ,5Y72 a' 49741- Total: $2,053.50 " 'a //z/ ) WF I:\F_BLD_App_Bld.rpt 10/29/99