HomeMy WebLinkAboutBLD2000-00337 •
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 #: BLD00-00337 Received Date 05/30/2000
SITE ADDRESS: 223 SCENIC VIEW Issue Date 06/15/2000
PORT LUDLOW, 98365 Expiration Date 06/15/2001
APPLICANT: JERROLD GAMER PHONE: (360)437-0296
223 SCENIC VIEW LN
PORT LUDLOW WA 98365
SUBDIVISION: Block: Lot: T 79
PARCEL NUMBER: 821334087 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: HANS VODDER CONST PHONE: (360)732-4985
231 BELFRAGE RD
PORT LUDLOW WA 98365
Contractor's License: HANSVC*198MG Expires: 08/01/2000
LOAN LENDER/ WILSON INSURANCE
BOND HOLDER: OHIO CASUALITY
PROJECT DESCRIPTION GARAGE W/HEATED SHOP
REQUIRED INSPECTIONS:
[1-r --Footings/Setbacks (Shoreline Setbacks):(Jk ''-'et — fj, 6j_ S'WWsP'4. r m r
da .Sr 4A/t-`7 w2one c
o�ntion� P . riL
[v1-- t'U derground'Plumbing/Under rc�o id Insulatig l
[ ] Shear Wall:
[ ] ...Framing/Plumb r L/1- , r- C,j /1��-.,
[ ] Propane Tank/Lines:
[V]----�`r�sv1a-'tC` y ,2/4#1/rc'�e'' ' 0, , 4 4__ i /17 rC
� ��in- al/Occupancy Approva pew /Dl2_' (0 l C C
HEALTH DEPARTMENT APPROVAL REQUIRED RI 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
__
Jefforson County Dartment of Community Oevelopment
sour c,
°C.. 621 Sheridan Street,Port Town ;rid WA 88368[360]378-4450
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S N.Gr° J Or_, 0 OC�Q�- C �
Project Description: (a,r0-j� J3 G9 Si\v e
Building Type: Project Type: Frame Type:
• Single Family $, New X Wood
"Garage Attached/Detached ❑ Addition ❑ Steel
[ Modular 0 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: 67 ❑ Sewer ❑Community System 7 Electricity ❑ Oil
Proposed: Proposed: j X Individual System ❑ Woodstove ❑ Propane
Total: trJ Total: j
If not sewer,fill out the following: )(Heat Pump
A,Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
A Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
of
Main Floor ' M 5"
(off UBC OCCUPANCY GROUP
2ND Floor Base fee ZS' ,
3rd Floor Plan Check fee
4 -'
Htd Basement tP�1-- 34 53 ) State Surcharge fee t'
Unhtd Basement Subtotal 101' , °
Garage/Carport &'v1- 01)
Z 4 Pot Water Review fee 3 .
Decks 911/Rd Approach fee ~'
g.
Commercial TOTAL i , C1
Industrial Receipt # 1 _ U
Other -- �, Cash/Check# C
Total Valuation: Initials kAcZ^i
Or Date " 6-6
Estimated Cost: 6'S ,
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 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 haymless 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 csAsequence of the granting of this permit.
I further agree to provide access and right, f 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 plicantt,Rroperty or structure shall be requested and shall occur during regular business hours.
Signature: C., 6s z-I ve-''(.., Date: ,4,, ,..
r
r
', Jefferson County Department of Community Development
/� °N coo 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
4. ' '` Universal Plot Plan
Fill in the following blanks as completely as possible:
Project Description:
9 Digit Parcel Identification Number (from your tax statement): r t Bey
cr `F
Site Address 5L z=,t, /( 1 ;°`.A.,
911#: Z 4 Road Name: Zip Code: 995 3
Legal Description NE" 'Ai cs F /41
Subdivision Name: T ry-7q'tessr,klc. 4/,ltet, o ; Block: Lot(s):
Section: , 1 Townsnp: zit, r• Range: /
Parcel Size (acres or square footage): 2/6'Atf,,e ,
Property Owner re 14'l<bc U z) „:, \l:y ,- Ph ne: 46)
43.7 62.74
Mailing Address:
Applicant/Occupant: �� Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor: ,4/Q,ti°'J" //d? i. /...17r,Lic, ,,,ir
Or Manufactured Home Installer: / / Phone: j?`J�- j 5-5-
Mailing Address:
Contractor's State License Number: Expiration Date:
Septic Designer: e 0..e r < , e4 4 eLivypG, naf r Phone: 31�C �
cil.ele4
Mailing Address: • .7o6//{J/ . dG P 1, ''A,4./
ate
Architect:/Engineer: tat ckiiislac, p I I ( Phone: r--
Mailing Address: G'CJ'
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
} BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00337 Received Date: 5/30/2000
SITE ADDRESS: 223 SCENIC VIEW
PORT LUDLOW, 98365
APPLICANT: JERROLD GAMER PHONE: (360)437-0296
223 SCENIC VIEW LN
PORT LUDLOW WA 98365
SUBDIVISION: Block: Lot: T 79
PARCEL NUMBER: 821334087 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: HANS VODDER CONST PHONE: (360)732-4985
231 BELFRAGE RD
PORT LUDLOW WA 98365
Contractor's License HANSVC*198MG Expires 08/01/2000
ARCHITECT/ RICHARD PRINE
ENGINEER : PO BOX 955
POULSBO WA 98370
PROJECT DESCRIPTION: GARAGE W/ HEATED SHOP
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 624
VALUATION 75,316.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: 624 HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 624 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: 1 Seismic Streams
Total: Total: 1 Flood Way Flood Plane
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
—Proximity - 1-lat C; d dons
Type Amount Paid By: Date: eceip Approve��ate
Permit $825.75 MAM 05/30/00 31550 APPROVED
Plan Check $247.73 MAM 05/30/00 31550 `
State Building Code $4.50 MAM 05/30/00 31550 MN
s� 2000
Potable Water Application $30.00 MAM 05/30/00 31550
Total: $1,107.98 Jefferson County Planning
&Building Department
I:\F_BLD_App_Bld.rpt 10/29/99