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