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Home My WebLink AboutBLD2000-00327r I • 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 #: BLD00-00327 Received Date 05/25/2000 SITE ADDRESS: 3286 TEAL LAKE RD Issue Date 09/7/2000 PORT LUDLOW, 98365 Expiration Date 09/7/2001 APPLICANT: JAMES ULM PHONE: (360)437-9509 CYNTHIA ULM 301 S KEEL WAY PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 98 PARCEL NUMBER: 821333043 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: �0 '• [�Footin /Setbacks (Shoreline Setbacks): cri. 6iC._ -4• �� oundation. /Q7//41/c:3n y ) g) e.: 7-a/c [y]/�nder Plumbin nder round Insu atio i 4'4_ /2—/'I-au [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Final/Occupancy Approval: 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 „...16ifferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00327 Received Date 05/25/2000 SITE ADDRESS: 3286 TEAL LAKE RD Issue Date 09/7/2000 PORT LUDLOW, 98365 Expiration Date 09/7/2001 APPLICANT: JAMES ULM PHONE: (360)437-9509 CYNTHIA ULM 301 S KEEL WAY PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 98 PARCEL NUMBER: 821333043 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: ,` [`7 < FOOtin i/Setbacks (Shoreline Setbacks): cn.. LS t_ 'a '4• `• oundation. l H&:3'9 � e /C [_i r'�/'� y} nder. . .. Plumbin.; nderground Insu atio Ae__ /2— 0-6aE:/�°� [ ] Shear Wall: I ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: Final/Occupancy Approval: 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 7-1 . C�,r- / ..% — ��'.�� , Z_-- BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00327 Received Date: 5/25/2000 SITE ADDRESS: TEAL LAKE RD PORT LUDLOW, 98365 APPLICANT: iM'�-t", CIt PHONE: 30, S, ICE EL. I/V/ PO BO-WA 98378 ' c TL LUO Lo v ) qstos SUBDIVISION: Block: Lot: T 98 PARCEL NUMBER: 821333043 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,448 VALUATION 190,243.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 1997 HEAT BASE: 840 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 888 #OF STORIES: /� i� OCCUPANCY: ffq"' CONST TYPE: 5N OTHER: SHORELINE: aF1 k CONST TYPE: GARAGE: 720 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON li WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland ,r Erosion Prop: 3 Prop: 3 Seismic di) Streams rU Total: 3 Total: 3 Flood Way (IQ Flood Plane N F&W txCPV- ,---/ Landslide Routing Date: Shoreline Nv pquj'er If; Forest: Commercial ��'5t1 raI Yr4ximltyv F at Co drtrtions Type Amount Paid By: Date: Receipt:— Approved I`.te Permit $1,503.35 MAM 05/25/00 31543 + ' , . / l}'Ci Plan Check $451.01 MAM 05/25/00 31543 �p �'re State Building Code $4.50 MAM 05/25/00 31543 Potable Water Application $30.00 MAM 05/25/00 31543Crttical g-:',..'-;. - Total: 51,988.86 % '1 Review 6 I:IF_BLD_App_Bld.rpt 10/29/99 i_ y • t. Jefferson County Department of Community Development July 14, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: DEAN REYNOLDS 25825 W CANYON RD NW POULSBO WA 98370 Critical Area Review Case Number: CAR00-00242 Project Description: single family dwelling Parcel Number: 821333043 S-T-R: 33-28N-01E Site Address: 3286 TEAL LAKE RD 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 propospfd development activities will require further review pursuant to the Jefferson County Critical A ea Ordinance. .i/PV\'—`-- I A . (j/LAA 1 De rtment of Community Development Staff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 Ai Jafforson County Department of Community Development ��g N °° 6213t pan Street,Port Town::nd WA 88368[360]378-4450 . `... ? rmt O —? —hEntu 0r hI-G Project Description: Building Type: Project Type: Frame Type: X Single Family t New Wood XGarage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-farnily/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer U Community System ❑ Electricity ❑ Oil Proposed: Proposed: )4 Individual System Woodstove Total: 3 Total: _ y Propane If not sewer,fill out the following: ❑ Heat Pump Conventional ❑ Alternative ❑ Other ermit# SEP 99— O 14 6 Water Supply: �V b � , ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: �/ For Office Use Only Main Floor �-�7 g + D 54d1�o UBC OCCUPANCY GROUP 2ND Floor Base fee f`�U r P — 3rd Floor /� Plan Check fee `� 1I , 0 / Htd Basement $ 4 O yY9 I 9 State Surcharge fee "T c '0 Unhtd Basement '88 iff0 5 3 Subtotal I s s ' ' Garage/Carport72..vj] Pot Water Review fee r' Decks 911/Rd Approach fee Z9 D Commercial TOTAL 2. .0 1 Industrial Receipt # 3 i( Other Cash/Check # '? r Total Valuation` Initials LA Or Date ..Z S •06 Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark K A- ft.Bank Height ft. By signing the application form,the applicant/owner attests that the info 'on 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. B 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 e granting of this permit I further agree to pr vide access and right of ent fferso unty and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and sight of en to e applicant's prope or hall be requested and shall occur during regular business hours.r Signa re \ Date: 2— r . , BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00327 Received Date: 5/25/2000 SITE ADDRESS: TEAL LAKE RD PORT LUDLOW, 98365 APPLICANT: DEAN REYNOLDS PHONE: 25825 W CANYON RD NW POULSBO WA 98370 SUBDIVISION: Block: Lot: T 98 PARCEL NUMBER: 821333043 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,448 VALUATION 190,243.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 1997 HEAT BASE: 840 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: 888 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 720 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD 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 F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Pr xim t - Flat Uoj dLtlons 1 Type Amount Paid By: Date: Keceipt: ^^�^ Permit $1,503.35 MAM 05/25/00 31543 A APPRGPVED Plan Check $451.01 MAM 05/25/00 31543 g,,, (,` 6\4-49., State Building Code $4.50 MAM 05/25/00 31543 S E? 13 7 23171 Potable Water Application $30.00 MAM 05/25/00 31543 Total: $1,988.86 Jefferson County Planning & Building Deportment I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development ,SON Cb, 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 7 y;' -4' '" ' $ Universal Plot PlanS,iIINecc� Fill in the following blanks as completely as possible: Project Description: NE(PJ HoL,,/lF 9 Digit Parcel Identification Number (from your tax statement): I Site Address 911#: Road Name: r r i / K ,' i Zip Code: 9 c' K Legal Description Subdivision Name: Block: Lot(s): Section: Township: Range:ND�2�'. .� c,r�S Parcel Size (acres or square footage): c" /A r C-&S Property Owner: 36o 13 7- 9 5 v p Y J H'-cn/lE.S -+ C.`/P�.i 1"�(!� �L�*,/, Phone:f C. Mailing Address: - ( s}t / NiJ t V�c OL e f t Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: �F� S� (_I 1,-r Phone: Mailing Address: Architect:/Engineer: Phone: 4'1 Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan - SHAW P\ � a ciw rER of 6e 'r/off 3,3 V fOONO /"CONDO/r w/CA it N 0 N.R. GYrYYC, MOik jy! ,4MA RXEO "L.e. /2223 7 µj/Wi ,/re / '2"0/ CAP REPL AC/NG a VA R p ir'0 6 r eg lit 5 2 4 9. 73 4 --k._-_____34 y .;k:::j ��' 30 , I -, ;� r' SI-' 4 s, t ,�I';: f FL, \ , • `Vii i ii1 V ,1 j::*::i:: :i:jd(3 li::; °,..f.ii? 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