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HomeMy WebLinkAboutBLD2000-00300 • • A 9 , , 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 #: BLD00-00300 Received Date 05/10/2000 SITE ADDRESS: 1627 THORNDYKE RD Issue Date 07/6/2000 PORT LUDLOW, 98365 Expiration Date 07/6/2001 APPLICANT: BLAKE NORDSTROM PHONE: (206)523-7020 MOLLY NORDSTROM 4404 52ND AVE NE SEATTLE WA 98105 SUBDIVISION: Block: Lot: C PARCEL NUMBER: 721174034 Section: 17 Township: 27 N Range: 01 E CONTRACTOR: REIJNEN CONSTRUCTION PHONE: (206)842-4409 490 MADISON AVE N #101 BAINBRIDGE ISLAND WA 98110 Contractor's License: REIJN**022D0 Expires: 12/31/2000 LOAN LENDER/ FIDELITY AND DEPOSIT CO BOND HOLDER: OF MARYLAND PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE LOT C REQUIRED-INSPECTIONS: Dter_._.__...,_...._.._........._._. [ ] (Fo . /Setbacks (Shoreline Setbacks : c 7 . c . ,e 66 t Go i7// [Li- Foundation: ��fie'? -a v e.Q. [ ] Underground Plumbing/Underground Insulation: [\ ,—''.. ar Wa : C , C'"c e 3�Z)it( [ Framing/Plumbin Al/ V 2// /c.9......."." .. .-:-c,---- ane an 7 0/ 2 1)/ - /9/tliC it- 2/an."' er.? [C.] a i V- '. S. ai�c 72-"3/0 / 9.0Q I , - _ , :r. eetro T=.s f wry t a 1 i9 C it' -e/ /cy ; [ final/Occupancy Approva Flite/4 / Ole" V7/2 /e)/ CV et:1z 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 t BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00300 i Received Date: 5/10/2000 SITE ADDRESS: THORNDYKE RD Sc \\Qi' PORT LUDLOW, 98365 APPLICANT: BLAKE NORDSTROM PHONE: (206)523-7020 MOLLY NORDSTROM 4404 52ND AVE NE SEATTLE WA 98105 SUBDIVISION: TRAILS END Block: Lot: C PARCEL NUMBER: 721174034 Section: 17 Township: 27 Range: 01 E CONTRACTOR: REIJNEN CONSTRUCTION PHONE: (206)842-4409 490 MADISON AVE N #101 BAINBRIDGE ISLAND WA 98110 Contractor's License REIJN**022D0 Expires 12/31/1999 ARCHITECT/ BOB HOBBLE ENGINEER : 304 WYATT WAY BAINBRIDGE ISLAND WA 98110 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,613 VALUATION 190,652.00 ADD'L: 1,353 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: Q-5 UNHEATED: 1,701 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 785 SETBACK: BANK HEIGHT: 183 SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural — —Proximity - Plat eoiadrtlons Type Amount Paid By: Date: Receipt: Approve a e Permit $1,503.35 MAM 05/10/00 30743 A PP Plan Check $451.01 MAM 05/10/00 30743 State Building Code $4.50 MAM 05/10/00 30743U C00 Potable Water Application $30.00 MAM 05/10/00 30743 Total: $1,988.86 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 Jefif rson County Department of Community Development 4,$ON c'C.. 62131penidan Street,Port Town, ;nd WA 88368[3601318-4450 A7 o perme ?)��s �� Pp1c5© Project Description: B9ilding Type: Project Type: Frame Type: ❑ Single Family B'New L"Wood • Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry • Muhi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: "X Proposed: "2. H'Individual System ❑ Woodstove 9'l ropane Total: 2i Total: 1.' If r.t sewer,fill out the following: ❑ Heat Pump r5 Conventional ❑ Alternative ❑ Other Permit# SEP O J-l E) 1 Water Supply: Er Private well -ITwo Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor I s CO L • Co. s%9 Zt_i UBC OCCUPANCY GROUP 2ND Floor li 3 c73 . Af' l 1 1 I Base fee I Jam. -' 3rd Floor Plan Check fee � `� R - 0 1 Htd Basement State Surcharge fee ... O Unhtd Basement 111 D I .2-S 2 C 2O 7 Subtotal Garage/Carport Pot Water Review fee l?5s Decks 1�►� . 911/Rd Approach fee G-�1 , Commercial TOTAL 2-O I / ' Industrial Receipt # it Other C'ash/Check# 0�_ �j __-----Th Total Valuation: 6,- Initials �`� Or ��� Date C- , ( -' 0-73 Estimated Cost: If within 200' of the Shoreline, n Distance to Bank or Ordinary High Water Mark i Q' t i ft.Bank Height 1 D:—i 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 sire shall be requested and shall occur during regular business hours. 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